Individual
ASHLEY LEITHAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 BAY RIDGE PKWY, BROOKLYN, NY 11209-3309
(718) 836-2127
Mailing address
32 GARY PL, STATEN ISLAND, NY 10314-3739
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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