Individual
MICHAEL LEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
123 WILFRED BLVD, HICKSVILLE, NY 11801-1942
(516) 238-6089
Mailing address
123 WILFRED BLVD, HICKSVILLE, NY 11801
(516) 238-6089
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006900
NY
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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