Provider Demographics
NPI:1205197175
Name:LEVINE, HEDI SUSAN (MS ED)
Entity Type:Individual
Prefix:MS
First Name:HEDI
Middle Name:SUSAN
Last Name:LEVINE
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 E 14TH ST
Mailing Address - Street 2:APT 2G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-2801
Mailing Address - Country:US
Mailing Address - Phone:212-529-1314
Mailing Address - Fax:
Practice Address - Street 1:455 E 14TH ST
Practice Address - Street 2:APT 2G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-2801
Practice Address - Country:US
Practice Address - Phone:212-529-1314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist