Organization
SHLOMIT LEVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EGARDO LUGO MS, LCSW-R (CLINICAL DIRECTOR)
(646) 762-4950
Entity
Organization
Contact information
Practice address
169 W 133RD ST, NEW YORK, NY 10030-3301
(646) 762-4950
Mailing address
0048 26TH ST, FAIR LAWN, NJ 07410-3740
(201) 638-4004
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
094687
NY
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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