Provider Demographics
NPI:1033515291
Name:LEINER, CHANA LEAH (OT R/L)
Entity Type:Individual
Prefix:MRS
First Name:CHANA
Middle Name:LEAH
Last Name:LEINER
Suffix:
Gender:F
Credentials:OT R/L
Other - Prefix:
Other - First Name:CHANA
Other - Middle Name:LEAH
Other - Last Name:WELDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 DINEV ROAD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950
Mailing Address - Country:US
Mailing Address - Phone:845-782-7510
Mailing Address - Fax:845-782-5849
Practice Address - Street 1:1 DINEV ROAD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950
Practice Address - Country:US
Practice Address - Phone:845-782-7510
Practice Address - Fax:845-782-5849
Is Sole Proprietor?:No
Enumeration Date:2014-11-14
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0189481225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist