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Individual

ELLEN RUTH LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW R

Contact information

Practice address
316 W 82ND ST LOWR LEVEL, NEW YORK, NY 10024-5356
(646) 239-0221
Mailing address
14 ELLSWORTH AVE, YONKERS, NY 10705-3625
(646) 239-0221

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
R0423851
NY

Other

Enumeration date
11/30/2006
Last updated
05/01/2025
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