Provider Demographics
NPI:1154544864
Name:ROSSNER, LEAH GOLDSCHMIDT (MSW, ACSW)
Entity type:Individual
Prefix:MS
First Name:LEAH
Middle Name:GOLDSCHMIDT
Last Name:ROSSNER
Suffix:
Gender:F
Credentials:MSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 PINECREST PKWY
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-3703
Mailing Address - Country:US
Mailing Address - Phone:845-358-6087
Mailing Address - Fax:845-358-6087
Practice Address - Street 1:53 S BROADWAY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-3834
Practice Address - Country:US
Practice Address - Phone:845-358-6087
Practice Address - Fax:845-358-6087
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR018527-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNO2681Medicare ID - Type Unspecified