Provider Demographics
NPI:1265683056
Name:MORLO, LEONARD (MPS)
Entity Type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:
Last Name:MORLO
Suffix:
Gender:M
Credentials:MPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 CIRCLE DR
Mailing Address - Street 2:1
Mailing Address - City:WHEATLEY HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11798-1010
Mailing Address - Country:US
Mailing Address - Phone:718-440-4185
Mailing Address - Fax:631-643-7643
Practice Address - Street 1:35 CIRCLE DR
Practice Address - Street 2:1
Practice Address - City:WHEATLEY HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11798-1010
Practice Address - Country:US
Practice Address - Phone:718-440-4185
Practice Address - Fax:631-643-7643
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral