MEDICARE: ALYSON LEFFEL LCSW

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	104100000X	Social Worker	082017	NY

General Provider Information

NPI Number	:	1962128009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSON LEFFEL LCSW

Provider Business Mailing Address
First Line	:	50 LOCUST AVE E
Second Line	:
City	:	WEST HARRISON
State	:	NY
Zip	:	10604-2702
Country	:	US
Telephone Number	:	516-238-5131
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 LOCUST AVE E
Second Line	:
City	:	WEST HARRISON
State	:	NY
Zip	:	10604-2702
Country	:	US
Telephone Number	:	516-238-5131
Fax Number	:

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

Provider Enumeration Date	:	10/19/2022
Last Update Date	:	10/19/2022

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