Most Relevant Information
Provider Data
| NPI Number: | 1003439753 |
| Provider Name: | NICOLE LEVINE LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/28/2020 |
| Last Updated: | 05/28/2020 |
Provider Practice Location
4277 65TH PL
WOODSIDE
NY
113775054
Practice Location Phone/Fax
| Phone: | 7184292000 |
| Fax: |
Provider Mailing Location
247 E 28TH ST APT 4A
NEW YORK
NY
100168580
Provider Mailing Phone/Fax
| Phone: | 5165923847 |
| Fax: |