MEDICARE: LESLIE HELPRIN PH.D.

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	103TC0700X	Clinical Psychologist	012883	NY

General Provider Information

NPI Number	:	1942501812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE HELPRIN PH.D.

Provider Business Mailing Address
First Line	:	303 MERRICK RD
Second Line	:	SUITE 204
City	:	LYNBROOK
State	:	NY
Zip	:	11563-2501
Country	:	US
Telephone Number	:	800-725-6280
Fax Number	:	800-725-6380

Provider Business Practice Location Address
First Line	:	87 S ROUTE 9W
Second Line	:
City	:	HAVERSTRAW
State	:	NY
Zip	:	10927-1700
Country	:	US
Telephone Number	:	845-429-5381
Fax Number	:	845-429-3001

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

Provider Enumeration Date	:	11/09/2010
Last Update Date	:	11/09/2010

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