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NPI Code Detail

MEDICARE: SHLOMIT LEVY

MEDICARE: SHLOMIT LEVY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1305R00000XPreferred Provider Organization094687NY

General Provider Information

NPI Number : 1407219447
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHLOMIT LEVY
Provider Business Mailing Address
First Line : 0048 26TH ST
Second Line :
City : FAIR LAWN
State : NJ
Zip : 07410-3740
Country : US
Telephone Number : 201-638-4004
Fax Number :
Provider Business Practice Location Address
First Line : 169 W 133RD ST
Second Line :
City : NEW YORK
State : NY
Zip : 10030-3301
Country : US
Telephone Number : 646-762-4950
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : MR. EGARDO LUGO
Credential : MS, LCSW-R
Telephone Number : 646-762-4950
Provider Enumeration Date : 03/29/2016
Last Update Date : 03/29/2016

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Directions to “SHLOMIT LEVY ” Practice Location

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