Individual
DR. ELI LEITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 901-8880
Mailing address
134 HIGHLAND AVE, EDISON, NJ 08817-2956
(732) 819-0593
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
004581-1
NY
Other
Enumeration date
03/27/2007
Last updated
09/11/2014
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