Doctor Name: | MS. LEONIZA CORDOBA |
NPI Number: | 1649496639 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.A. |
License Number: | |
Business Practice Address: | 3722 82nd St Jackson Heights, NY - 113727032 |
Business Phone Number: | 7187791600 |
Business Fax Number: | 7183966189 |
Mailing Address: | 3726 87th St, JACKSON HEIGHTS |
State: | NY |
Postal Code: | 113727530 |
Phone Number: | 7186512525 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |