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Contact Information

FREDRIC M LEVINE, PhD
1000 MAIN ST
PORT JEFFERSON, NY11777-2250
 Phone: 631-473-6622
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for FREDRIC M LEVINE · (Male)

NPI Number 1144462920
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/25/2009
Last updated 03/25/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 3559
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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