Provider Demographics
NPI:1184123135
Name:LEVINE, ALISON (CGC)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:LEVINE
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CGC
Mailing Address - Street 1:771 HARRISON AVE PH 10
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-3597
Mailing Address - Country:US
Mailing Address - Phone:845-596-5223
Mailing Address - Fax:
Practice Address - Street 1:450 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5418
Practice Address - Country:US
Practice Address - Phone:617-582-8094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-06
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAGC386170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS