Individual
ANDREW LEASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 W 31ST ST FL 3, NEW YORK, NY 10001-3407
(917) 476-4397
Mailing address
65 W 106TH ST APT 3F, NEW YORK, NY 10025-3835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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