Provider Demographics
NPI:1053204594
Name:GJONBALAJ, LEONITA
Entity type:Individual
Prefix:
First Name:LEONITA
Middle Name:
Last Name:GJONBALAJ
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 1:29 LACE LN
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-6314
Mailing Address - Country:US
Mailing Address - Phone:347-967-6449
Mailing Address - Fax:
Practice Address - Street 1:808 UNION ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1374
Practice Address - Country:US
Practice Address - Phone:929-466-9224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health