MEDICARE: MS. BELINDA A. LESHINGER OTR

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	222Q00000X	Developmental Therapist	004942-1	NY

General Provider Information

NPI Number	:	1588970420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BELINDA A. LESHINGER OTR

Provider Business Mailing Address
First Line	:	92 S OCEAN AVE
Second Line	:
City	:	BAYPORT
State	:	NY
Zip	:	11705-2214
Country	:	US
Telephone Number	:	631-472-5028
Fax Number	:

Provider Business Practice Location Address
First Line	:	92 S OCEAN AVE
Second Line	:
City	:	BAYPORT
State	:	NY
Zip	:	11705-2214
Country	:	US
Telephone Number	:	631-472-5028
Fax Number	:

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

Provider Enumeration Date	:	08/30/2010
Last Update Date	:	08/30/2010

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