Provider Demographics
NPI:1508006214
Name:LEINER, GITTY (MS CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:GITTY
Middle Name:
Last Name:LEINER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 E 87TH ST
Mailing Address - Street 2:APT 7B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1126
Mailing Address - Country:US
Mailing Address - Phone:917-697-6187
Mailing Address - Fax:
Practice Address - Street 1:125 E 87TH ST
Practice Address - Street 2:APT 7B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1126
Practice Address - Country:US
Practice Address - Phone:917-697-6187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012762-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist