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General NPI Number Information
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NPI Number | 1962924720
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Entity Type | Individual
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Provider Name | MADELINE LEVITT PHD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 425 E 61ST ST PH
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City | NEW YORK
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State | NY
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Zip | 10065-8722
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Country | US
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Telephone | 646-784-2584
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Fax |
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Provider Business Mailing Address
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Address Line | 423 E 75TH ST APT 2D
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City | NEW YORK
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State | NY
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Zip | 10021-3264
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Country | US
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Telephone | 617-650-4053
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 025373
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License Number State | NY
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