Provider Demographics
NPI:1144872201
Name:LEVY-WARREN, ANNA (PHD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:LEVY-WARREN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:TURGEL-LEVY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:343A 22ND ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-6686
Mailing Address - Country:US
Mailing Address - Phone:917-502-9510
Mailing Address - Fax:
Practice Address - Street 1:415 CENTRAL PARK W APT 1EL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-4855
Practice Address - Country:US
Practice Address - Phone:917-502-9510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022987103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist