Provider Demographics
NPI:1376767152
Name:INY, LEAH (RPH, MS)
Entity Type:Individual
Prefix:MS
First Name:LEAH
Middle Name:
Last Name:INY
Suffix:
Gender:F
Credentials:RPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 80TH ST
Mailing Address - Street 2:APARTMENT 24 A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0655
Mailing Address - Country:US
Mailing Address - Phone:646-642-2600
Mailing Address - Fax:
Practice Address - Street 1:401 E 80TH ST
Practice Address - Street 2:APARTMENT 24 A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0655
Practice Address - Country:US
Practice Address - Phone:646-642-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NY33690183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor