Provider Demographics
NPI:1700030558
Name:LESHNER, LISA A (MS PT)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:A
Last Name:LESHNER
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 E 84TH ST
Mailing Address - Street 2:ROOM 205
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-2972
Mailing Address - Country:US
Mailing Address - Phone:212-517-2777
Mailing Address - Fax:
Practice Address - Street 1:207 E 84TH ST
Practice Address - Street 2:ROOM 205
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-2972
Practice Address - Country:US
Practice Address - Phone:212-517-2777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0143882251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics