Provider Demographics
NPI:1659370781
Name:LEVINSON, HAROLD NATHAN (MD)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:NATHAN
Last Name:LEVINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:98 CUTTERMILL RD
Mailing Address - Street 2:SUITE 90
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3006
Mailing Address - Country:US
Mailing Address - Phone:516-482-2888
Mailing Address - Fax:516-482-2480
Practice Address - Street 1:98 CUTTERMILL RD
Practice Address - Street 2:SUITE 90
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3006
Practice Address - Country:US
Practice Address - Phone:516-482-2888
Practice Address - Fax:516-482-2480
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0843742084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
154371Medicare UPIN
NYB06715Medicare PIN