Healthcare Provider Details

I. General information

NPI: 1689583981
Provider Name (Legal Business Name): LEILANI OROZCO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 DEEP WELL FARMS RD
SOUTH SALEM NY
10590-1916
US

IV. Provider business mailing address

50 DAVIS AVE
WHITE PLAINS NY
10605-1051
US

V. Phone/Fax

Practice location:
  • Phone: 914-671-3175
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: