| Doctor Name: | PATRICE MICHELE LEVY |
| NPI Number: | 1699119305 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW, CASAC |
| License Number: | 27774 |
| Business Practice Address: | 240 Mastic Beach Rd Mastic Beach, NY - 119511028 |
| Business Phone Number: | 6318741126 |
| Business Fax Number: | |
| Mailing Address: | 2075 New York Ave, HUNTINGTON STATION |
| State: | NY |
| Postal Code: | 117463238 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2013 |
| NPI Last Update Date: | 04/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 27774 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |