Individual
DR. LISA LEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E 88TH ST APT 8G, NEW YORK, NY 10128-6636
(917) 710-3039
Mailing address
401 E 88TH ST APT 8G, NEW YORK, NY 10128-6636
(917) 710-3039
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
026265
NY
Other
Enumeration date
11/16/2024
Last updated
11/16/2024
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