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NPI Code Detail

MEDICARE: RALPH A LEONART

MEDICARE: RALPH A LEONART
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1386792083
Entity Type Code : Individual
Provider Name (Legal Business Name) : RALPH A LEONART
Provider Business Mailing Address
First Line : 7409 37TH AVE
Second Line : SUITE 315
City : JACKSON HEIGHTS
State : NY
Zip : 11372-6300
Country : US
Telephone Number : 718-672-1705
Fax Number : 718-672-2027
Provider Business Practice Location Address
First Line : 7409 37TH AVE
Second Line : SUITE 315
City : JACKSON HEIGHTS
State : NY
Zip : 11372-6300
Country : US
Telephone Number : 718-672-1705
Fax Number : 718-672-2027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 10/30/2013

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Directions to “ RALPH A LEONART ” Practice Location

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