Provider Demographics
NPI:1346137205
Name:LESLIE M. FAERSTEIN
Entity type:Organization
Organization Name:LESLIE M. FAERSTEIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:MORRISON
Authorized Official - Last Name:FAERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LCSW
Authorized Official - Phone:917-749-3160
Mailing Address - Street 1:237 E 20TH ST APT 4A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-1806
Mailing Address - Country:US
Mailing Address - Phone:917-749-3160
Mailing Address - Fax:
Practice Address - Street 1:237 E 20TH ST APT 4A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-1806
Practice Address - Country:US
Practice Address - Phone:917-749-3160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health