Healthcare Provider Details

I. General information

NPI: 1801958905
Provider Name (Legal Business Name): NEAL STEVEN LEVY MSW, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 12/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 S BROADWAY
NYACK NY
10960-3135
US

IV. Provider business mailing address

37 S BROADWAY
NYACK NY
10960-3135
US

V. Phone/Fax

Practice location:
  • Phone: 845-353-2482
  • Fax: 212-517-5644
Mailing address:
  • Phone: 845-353-2482
  • Fax: 212-517-5644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR041893-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: