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NPI Code Detail

MEDICARE: LEENA MORALES

MEDICARE: LEENA MORALES
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 Counselor003361-1NY

General Provider Information

NPI Number : 1730399684
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEENA MORALES
Provider Business Mailing Address
First Line : 280 14TH ST APT 5C
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-4942
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-2812
Country : US
Telephone Number : 718-622-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 07/08/2007

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Directions to “ LEENA MORALES ” Practice Location

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