Organization
STATEN ISLAND UNIVERSITY HOSPITAL BEHAVORIAL MEDICINE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T. LEVY (CHAIRMAN OF BEHAVIORIAL)
17182266170
Entity
Organization
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-4502
(718) 226-4875
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-4502
(718) 226-4875
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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