MEDICARE: MRS. EFRONIT LEVI LMHC

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
1	101YM0800X	Mental Health Counselor	005224	NY

General Provider Information

NPI Number	:	1679859854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EFRONIT LEVI LMHC

Provider Business Mailing Address
First Line	:	1472 E 37TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-2706
Country	:	US
Telephone Number	:	718-252-8315
Fax Number	:

Provider Business Practice Location Address
First Line	:	1623 KINGS HIGHWAY
Second Line	:	INRERBOUGH DEVELOMENTAL AND CONSULTATIO
City	:	BROOKLYN
State	:	NY
Zip	:	11229
Country	:	US
Telephone Number	:	718-375-1200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2011
Last Update Date	:	09/07/2012

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