Levine, Fredric M

Levine, Fredric M is an sole proprietor health care provider with primary practice located at 1000 Main St , Port Jefferson NY 11777-2250. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Levine, Fredric M can be contacted via phone (631) 473-6622.

Contact Information

Primary practice address
1000 Main St Port Jefferson NY 11777-2250
Phone: (631) 473-6622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 3559 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3559 New York
Behavioral Health & Social Service Providers / Health 103TH0004X 3559 New York
Behavioral Health & Social Service Providers / Health Service 103TH0100X 3559 New York

Profile Details

NPI number 1144462920
LBN Legal business name Levine, Fredric M
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2009
Last updated Mar 25th, 2009 - about 15 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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