MEDICARE: ALAN LEVIN

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	106H00000X	Marriage & Family Therapist	8722825	NY

General Provider Information

NPI Number	:	1992150577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN LEVIN

Provider Business Mailing Address
First Line	:	3 DEER PL
Second Line	:
City	:	TOMKINS COVE
State	:	NY
Zip	:	10986-1607
Country	:	US
Telephone Number	:	845-271-3623
Fax Number	:

Provider Business Practice Location Address
First Line	:	48 BURD ST
Second Line	:
City	:	NYACK
State	:	NY
Zip	:	10960-3226
Country	:	US
Telephone Number	:	845-271-3623
Fax Number	:

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

Provider Enumeration Date	:	05/02/2016
Last Update Date	:	05/02/2016

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Directions to “ ALAN LEVIN ” Practice Location

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