Provider Demographics
NPI:1528934684
Name:APONTE, LEANDREW
Entity type:Individual
Prefix:
First Name:LEANDREW
Middle Name:
Last Name:APONTE
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 1:55 FRONT ST STE 7
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4040
Mailing Address - Country:US
Mailing Address - Phone:516-476-9057
Mailing Address - Fax:212-877-5504
Practice Address - Street 1:55 FRONT ST STE 7
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4040
Practice Address - Country:US
Practice Address - Phone:516-476-9057
Practice Address - Fax:212-877-5504
Is Sole Proprietor?:No
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP124845101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health