Provider Demographics
NPI:1962924720
Name:LEVITT, MADELINE (PHD)
Entity type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:
Last Name:LEVITT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 E 75TH ST APT 2D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3264
Mailing Address - Country:US
Mailing Address - Phone:617-650-4053
Mailing Address - Fax:
Practice Address - Street 1:423 E 75TH ST APT 2D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3264
Practice Address - Country:US
Practice Address - Phone:617-650-4053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program