Provider Demographics
NPI:1629333901
Name:LESHKOWITZ, EVE (MSED)
Entity Type:Individual
Prefix:MRS
First Name:EVE
Middle Name:
Last Name:LESHKOWITZ
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:MRS
Other - First Name:CHAVI
Other - Middle Name:
Other - Last Name:LESHKOWITZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSED
Mailing Address - Street 1:1427 EAST 19TH STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230
Mailing Address - Country:US
Mailing Address - Phone:718-252-0859
Mailing Address - Fax:
Practice Address - Street 1:1427 E 19TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6715
Practice Address - Country:US
Practice Address - Phone:718-252-0859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist