Provider Demographics
NPI:1982423893
Name:LEVINE, ALLISON KRESCH (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:KRESCH
Last Name:LEVINE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:BETH
Other - Last Name:KRESCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:360 MOTTS COVE RD S
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-1207
Mailing Address - Country:US
Mailing Address - Phone:516-526-5580
Mailing Address - Fax:
Practice Address - Street 1:60 CUTTERMILL RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3131
Practice Address - Country:US
Practice Address - Phone:516-858-4328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026757103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical