Individual
DR. GERALD LAWRENCE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
24 FIFTH AVE, LOBBY LEVEL SUITE, NEW YORK, NY 10011
(212) 714-8160
Mailing address
7855 BOULEVARD EAST 26H, NORTH BERGEN, NJ 07047
(201) 854-8161
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0052061
NY
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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