Individual
DR. JESSE BERNARD LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6 BERNARD ST, PORT WASHINGTON, NY 11050-2902
(516) 767-2464
(516) 944-6452
Mailing address
6 BERNARD ST, PORT WASHINGTON, NY 11050-2902
(516) 767-2464
(516) 944-6452
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
005386
NY
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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