Provider Information for 1699119305
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PATRICE MICHELE LEVY LCSW
Sex: Female
NPI: 1699119305
Last Updated: 2023-02-02
Certification Date: 2023-02-02
Certification Date: 2023-02-02
Details
| Name | Value | ||||||||||||||||||||||||
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| NPI | 1699119305 | ||||||||||||||||||||||||
| Enumeration Date | 2013-04-24 | ||||||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||
| Mailing Address | 93 WASHINGTON BLVD COMMACK, NY 11725-1723 United States Phone: 234-421-1725 | Fax: | ||||||||||||||||||||||||
| Primary Practice Address | 93 WASHINGTON BLVD COMMACK, NY 11725-1723 United States Phone: 234-421-1725 | Fax: | ||||||||||||||||||||||||
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