Provider Demographics
NPI:1609000132
Name:LEVINE, ALAINA G (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:G
Last Name:LEVINE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:ALAINA
Other - Middle Name:R
Other - Last Name:GARBAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:700 FORT WASHINGTON AVE
Mailing Address - Street 2:APT 6F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040
Mailing Address - Country:US
Mailing Address - Phone:347-834-1765
Mailing Address - Fax:
Practice Address - Street 1:700 FORT WASHINGTON AVE
Practice Address - Street 2:APT 6F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040
Practice Address - Country:US
Practice Address - Phone:347-834-1765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014941-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist