Provider Demographics
NPI:1902095524
Name:HAROLD N LEVINSON, MD PC
Entity Type:Organization
Organization Name:HAROLD N LEVINSON, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HAROLD N LEVINSON, MD
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:N
Authorized Official - Last Name:LEVINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-482-2888
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:11021-3005
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0843742084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB06715Medicare PIN