Provider Demographics
NPI:1083209563
Name:DELEON, ALBERTO JR
Entity Type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
Last Name:DELEON
Suffix:JR
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:ALBERTO
Other - Middle Name:
Other - Last Name:DELEON
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:551 W 170TH ST APT 58
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3331
Mailing Address - Country:US
Mailing Address - Phone:201-838-4445
Mailing Address - Fax:
Practice Address - Street 1:175 REMSEN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4333
Practice Address - Country:US
Practice Address - Phone:212-273-6182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker