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Individual

DR. RISA LYNN LEVENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
775 PARK AVE, SUITE 356, HUNTINGTON, NY 11743-3976
(631) 784-7761
(631) 784-7831
Mailing address
775 PARK AVE, SUITE 356, HUNTINGTON, NY 11743-3976
(631) 784-7761
(631) 784-7831

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013873-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01949802
NY
Enumeration date
04/03/2007
Last updated
06/16/2011
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