Provider Demographics
NPI:1396354726
Name:KWASNY, LEIGH ANNE (PSYD)
Entity type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:ANNE
Last Name:KWASNY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 SCHOOL ST STE B
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-3090
Mailing Address - Country:US
Mailing Address - Phone:201-614-7725
Mailing Address - Fax:
Practice Address - Street 1:16 SCHOOL ST STE B
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-3090
Practice Address - Country:US
Practice Address - Phone:201-614-7725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-31
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023785103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical