Individual
STEPHEN WALTER LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3 HATFIED LANE, SUITE 1, GOSHEN, NY 10924
(845) 291-7480
(845) 294-3785
Mailing address
11 MEDICAL PARK DRIVE, SUITE 106, POMONA, NY 10970
(845) 620-0957
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0102141
NY
Other
Enumeration date
10/06/2006
Last updated
04/22/2008
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