Provider Demographics
NPI:1699222588
Name:SALINA, LEANDRO
Entity Type:Individual
Prefix:
First Name:LEANDRO
Middle Name:
Last Name:SALINA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MOUNT SINAI HOSPITAL ONE GUSTAVE L. LEVY PLACE
Mailing Address - Street 2:SOCIAL WORK DEPARTMENT BOX 1252
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-241-6800
Mailing Address - Fax:
Practice Address - Street 1:ONE GUSTAVE L. LEVY PLACE BOX 1252
Practice Address - Street 2:THE MOUNT SINAI HOSPITAL -SOCIAL WORK DEPARTMENT
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099062104100000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program