Organization
LEO STOROZUM PHD ET AL PTR FAMILY COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO STOROZUM PHD (COORDINATOR)
(212) 674-8516
Entity
Organization
Contact information
Practice address
205 EAST 17TH STREET, NEW YORK, NY 10003-3619
(212) 674-8516
Mailing address
205 EAST 17TH STREET, NEW YORK, NY 10003-3619
(212) 674-8516
(212) 253-9289
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01193228
—
NY
Enumeration date
03/26/2007
Last updated
08/22/2020
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