Individual
LEAH EIDLISZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 MIDDLETON ST, BROOKLYN, NY 11206-5415
(718) 303-9400
(718) 303-9498
Mailing address
135 KEAP ST APT 3R, BROOKLYN, NY 11211-7734
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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