Provider Demographics
NPI:1760168462
Name:ANDREWS-ROBERTS, LESLYN ABIGAIL
Entity Type:Individual
Prefix:
First Name:LESLYN
Middle Name:ABIGAIL
Last Name:ANDREWS-ROBERTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 MONROE ST FL 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-2813
Mailing Address - Country:US
Mailing Address - Phone:929-230-6824
Mailing Address - Fax:
Practice Address - Street 1:717 MONROE ST FL 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-2813
Practice Address - Country:US
Practice Address - Phone:929-230-6824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool