Organization
STUART J. LEVINSON, LCSW, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART JAY LEVINSON J.D., LCSW (PRESIDENT)
(212) 308-5363
Entity
Organization
Contact information
Practice address
280 MADISON AVE, SUITE 1108, NEW YORK, NY 10016-0801
(212) 308-5363
(212) 308-5363
Mailing address
285 AVENUE C, SUITE 11-H, NEW YORK, NY 10009-2301
(212) 308-5363
(212) 308-5363
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PR049702-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NT5941
MEDICARE PTAN
NY
Enumeration date
05/24/2014
Last updated
05/24/2014
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