Provider Demographics
NPI:1508001553
Name:BROWNSTEIN, LESLIE JANE (MASLPCCC)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:JANE
Last Name:BROWNSTEIN
Suffix:
Gender:F
Credentials:MASLPCCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 MIMOSA DRIVE
Mailing Address - Street 2:ROSLYN, N.Y 11576
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11576
Mailing Address - Country:US
Mailing Address - Phone:516-621-2929
Mailing Address - Fax:516-621-4040
Practice Address - Street 1:174 MIMOSA DRIVE
Practice Address - Street 2:ROSLYN, N.Y 11576
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:11576
Practice Address - Country:US
Practice Address - Phone:516-621-2929
Practice Address - Fax:516-621-4040
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000171-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist