Levenson, Risa Lynn

Levenson, Risa Lynn is an sole proprietor health care provider with primary practice located at 775 Park Ave Suite 356, Huntington NY 11743-3976. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Levenson, Risa Lynn can be contacted via phone (631) 784-7761.

Contact Information

Primary practice address
775 Park Ave Suite 356 Huntington NY 11743-3976
Fax: (631) 784-7831
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 013873-1 New York

Profile Details

NPI number 1073634259
LBN Legal business name Levenson, Risa Lynn
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Jun 16th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073634259 NPPES
New York MEDICAID 01949802

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