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Individual

DR. MELISSA LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
66 HARNED RD, SUITE 4, COMMACK, NY 11725-3527
(631) 219-2939
(631) 543-8573
Mailing address
169 JEFFERSON AVE, SAINT JAMES, NY 11780-2924
(631) 219-2939

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016185
NY

Other

Enumeration date
02/20/2007
Last updated
07/08/2007
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