Provider Demographics
NPI:1851674816
Name:LESLEY MCLAUGHLIN
Entity Type:Organization
Organization Name:LESLEY MCLAUGHLIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN SCHOOL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:518-454-3987
Mailing Address - Street 1:700 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-1404
Mailing Address - Country:US
Mailing Address - Phone:518-454-3987
Mailing Address - Fax:518-454-3958
Practice Address - Street 1:700 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-1404
Practice Address - Country:US
Practice Address - Phone:518-454-3987
Practice Address - Fax:518-454-3958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY315655-1251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========Medicaid