Individual
JEREMY LEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34 PARK ST, NEW HAVEN, CT 06519-1109
(203) 605-6310
Mailing address
300 GEORGE ST STE 901, NEW HAVEN, CT 06511-6662
(203) 785-2095
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
70623
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
04/17/2026
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