Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 013898-1 | NY |
Y | 103TC0700X | Clinical Psychologist | 013898-1 | NY |
NPI | 1013124874 |
---|---|
Provider Name | Dr. Alan Howard Levinson |
First Address | Holbrook, NY 11741-3434 |
Second Address | Holbrook, NY 11741-3434 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01999733 | (05) | NY |