Provider Demographics
NPI:1801188156
Name:LEVIN, JESSY (PHD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JESSY
Middle Name:
Last Name:LEVIN
Suffix:
Gender:F
Credentials:PHD, MPH
Other - Prefix:DR
Other - First Name:JESSY
Other - Middle Name:
Other - Last Name:WARNER-COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, MPH
Mailing Address - Street 1:450 LAKEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1118
Mailing Address - Country:US
Mailing Address - Phone:516-734-8842
Mailing Address - Fax:
Practice Address - Street 1:450 LAKEVILLE RD
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1118
Practice Address - Country:US
Practice Address - Phone:516-734-8842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent