Individual
MS. LEORA WELNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, M.A
Contact information
Practice address
125 EAST 90TH ST., #2C, NEW YORK, NY 10128
(917) 617-8816
Mailing address
125 EAST 90TH ST., #2C, NEW YORK, NY 10128
(917) 617-8816
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
362367031
NY
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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