Provider Demographics
NPI:1104460252
Name:LEONARD THERAPY ASSOCIATES
Entity type:Organization
Organization Name:LEONARD THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:845-825-7113
Mailing Address - Street 1:50 NOYES ST
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-2924
Mailing Address - Country:US
Mailing Address - Phone:845-735-4848
Mailing Address - Fax:
Practice Address - Street 1:50 NOYES ST
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-2924
Practice Address - Country:US
Practice Address - Phone:845-735-4848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health