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NPI Code Detail

MEDICARE: DR. ANDREW CHARLES LENO PHD

MEDICARE: DR. ANDREW CHARLES LENO PHD
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
1103T00000XPsychologist023884NY

General Provider Information

NPI Number : 1265167944
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW CHARLES LENO PHD
Provider Business Mailing Address
First Line : 28 W 25TH ST FL 10
Second Line :
City : NEW YORK
State : NY
Zip : 10010-2736
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 28 W 25TH ST FL 10
Second Line :
City : NEW YORK
State : NY
Zip : 10010-2736
Country : US
Telephone Number : 646-767-6209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2022
Last Update Date : 07/18/2022

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Directions to “ DR. ANDREW CHARLES LENO PHD” Practice Location

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