Provider Demographics
NPI:1215454277
Name:FLEISCHER, LEE ELLIOT (LP - PSYCHOANALYST)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:ELLIOT
Last Name:FLEISCHER
Suffix:
Gender:M
Credentials:LP - PSYCHOANALYST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E 30TH ST APT 1G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-7342
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:192 LEXINGTON AVE STE 216
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6823
Practice Address - Country:US
Practice Address - Phone:917-405-7469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-29
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000965OtherPSYCHOANALYSIS LICENSE