Provider Demographics
NPI:1881356830
Name:ASKLEIBCOM INC
Entity type:Organization
Organization Name:ASKLEIBCOM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LEIB
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:631-678-5794
Mailing Address - Street 1:3 BREWSTER AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-2616
Mailing Address - Country:US
Mailing Address - Phone:631-678-5794
Mailing Address - Fax:
Practice Address - Street 1:3 BREWSTER AVE
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-2616
Practice Address - Country:US
Practice Address - Phone:631-678-5794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center