Individual
ILAN LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
175 JERICHO TPKE STE 216, SYOSSET, NY 11791-4538
(844) 443-2563
Mailing address
175 JERICHO TPKE STE 216, SYOSSET, NY 11791-4538
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407936
NY
Other
Enumeration date
01/05/2026
Last updated
01/19/2026
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