MEDICARE: MICHAEL LEVI

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	0	NY

General Provider Information

NPI Number	:	1750095352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL LEVI

Provider Business Mailing Address
First Line	:	2325 E 5TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-5147
Country	:	US
Telephone Number	:	347-893-8686
Fax Number	:

Provider Business Practice Location Address
First Line	:	2325 E 5TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-5147
Country	:	US
Telephone Number	:	347-893-8686
Fax Number	:

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

Provider Enumeration Date	:	01/09/2023
Last Update Date	:	06/26/2025

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Directions to “ MICHAEL LEVI ” Practice Location

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