Counseling Space, Lcsw P.c.

NPI 1124411061 - Social Worker - 1041C0700X

NPI Details
NPI 1124411061
Enumeration Date 03/17/2015
Last Updated 03/17/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name LESLIE M. LESLIE
Position PRESIDENT/SOCIAL WORKER
Phone (917) 572-0013
Fax
Practice Location
7050 AUSTIN ST
113 LOWER LEVEL
FOREST HILLS NY, 11375-4737, US
Phone (917) 572-0013
Fax
Business Location
3533 98TH ST
CORONA NY, 11368-1860, US
Phone (917) 572-0013
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 076422
Remove 1124411061 NPI Number
 

According to our database, Counseling Space, Lcsw P.c. NPI is 1124411061, taxonomy code is 1041C0700X and license number is 076422, license state is located at New York. Counseling Space, Lcsw P.c. physically located at 7050 Austin St, Forest Hills NY, 11375-4737. NPI Number 1033115704 has the healthcare provider type.

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1124411061 NPI number is provided on an as is basis without warranty of any kind. 1124411061 is maintained by the National Plan & Provider Enumeration System. The contents of Counseling Space, Lcsw P.c. are for informational purposes only.