Provider Demographics
NPI:1508006214
Name:LEINER, GITTY (SLPD, CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:GITTY
Middle Name:
Last Name:LEINER
Suffix:
Gender:F
Credentials:SLPD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 RECTORY LN
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4314
Mailing Address - Country:US
Mailing Address - Phone:917-697-6187
Mailing Address - Fax:
Practice Address - Street 1:10 RECTORY LN
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4314
Practice Address - Country:US
Practice Address - Phone:917-697-6187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012762235Z00000X
NY012762-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist