Provider Demographics
NPI:1629438262
Name:SETTEMBRE, LESLIE (MS)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:
Last Name:SETTEMBRE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 E 5TH ST APT 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-6587
Mailing Address - Country:US
Mailing Address - Phone:561-389-3039
Mailing Address - Fax:
Practice Address - Street 1:540 E 5TH ST APT 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-6587
Practice Address - Country:US
Practice Address - Phone:561-389-3039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-24
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027013235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist