Individual
DR. LEONARD FRED CALTABIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
300 GARDEN CITY PLZ STE 350, GARDEN CITY, NY 11530-3358
(516) 747-9030
(516) 877-0998
Mailing address
104 ADAM ST, NORTH MASSAPEQUA, NY 11758-1603
(516) 586-5319
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019152
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019152
NYS STATE LICENSE NUMBER FOR PSYCHOLOGY
NY
Enumeration date
07/12/2011
Last updated
07/12/2011
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