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NPI Code Detail

MEDICARE: JESSICA LEVITAN

MEDICARE: JESSICA LEVITAN
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
1104100000XSocial WorkerNY

General Provider Information

NPI Number : 1497686281
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LEVITAN
Provider Business Mailing Address
First Line : 802 PARK PL APT 4B
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-6020
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 299 BROADWAY STE 905
Second Line :
City : NEW YORK
State : NY
Zip : 10007-1960
Country : US
Telephone Number : 917-873-1022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ JESSICA LEVITAN ” Practice Location

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