| Leo Storozum Phd Et Al Ptr Family Counseling Service | |
|
205 East 17th Street New York NY 10003-3619 | |
| (212) 674-8516 | |
| Not Available |
| Full Name | Leo Storozum Phd Et Al Ptr Family Counseling Service |
|---|---|
| Speciality | Counselor |
| Location | 205 East 17th Street, New York, New York |
| Authorized Official Name and Position | Leo Storozum (COORDINATOR) |
| Authorized Official Contact | 2126748516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leo Storozum Phd Et Al Ptr Family Counseling Service 205 East 17th Street New York NY 10003-3619 Ph: (212) 674-8516 | Leo Storozum Phd Et Al Ptr Family Counseling Service 205 East 17th Street New York NY 10003-3619 Ph: (212) 674-8516 |
| NPI Number | 1255459822 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255459822 | NPI | - | NPPES |
| 01193228 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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