Individual
MR. BLAKE LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
146A MANETTO HILL RD, SUITE 207, PLAINVIEW, NY 11803-1323
(646) 496-7183
(516) 931-1745
Mailing address
146A MANETTO HILL RD, SUITE 207, PLAINVIEW, NY 11803-1323
(646) 496-7183
(516) 931-1745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
071709
NY
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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