MEDICARE: MR. DAVID DENNISON LENG MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1649396516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID DENNISON LENG MSW

Provider Business Mailing Address
First Line	:	461 SACKETT STREET TOP FLOOR
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11231
Country	:	US
Telephone Number	:	917-721-2334
Fax Number	:

Provider Business Practice Location Address
First Line	:	1473 FULTON ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11216-2506
Country	:	US
Telephone Number	:	718-613-7251
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	07/08/2007

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