| Doctor Name: | MR. LESLIE JAMES BROWN |
| NPI Number: | 1114251857 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CASAC-T |
| License Number: | CASAC-T 23862 |
| Business Practice Address: | 2439 Ericsson St East Elmhurst, NY - 113691607 |
| Business Phone Number: | 3478484446 |
| Business Fax Number: | 3476171012 |
| Mailing Address: | 2439 Ericsson St, EAST ELMHURST |
| State: | NY |
| Postal Code: | 113691607 |
| Phone Number: | 3478484446 |
| Fax Number: | 3476171012 |
| NPI Enumeration Date: | 09/29/2009 |
| NPI Last Update Date: | 09/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CASAC-T 23862 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |