Provider Demographics
NPI:1700029121
Name:LEVINE, ARLENE S (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:S
Last Name:LEVINE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 EAST 70 STREET
Mailing Address - Street 2:APT 13A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5207
Mailing Address - Country:US
Mailing Address - Phone:212-988-7198
Mailing Address - Fax:212-988-7197
Practice Address - Street 1:211 EAST 70 STREET
Practice Address - Street 2:APT 13A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5207
Practice Address - Country:US
Practice Address - Phone:212-988-7198
Practice Address - Fax:212-988-7197
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1340103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist