Doctor Name: | MR. ERNEST LEUCI |
NPI Number: | 1821047002 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSWR |
License Number: | PR053666-1 |
Business Practice Address: | 3 Premier Ct Prt Jeff Sta, NY - 117763198 |
Business Phone Number: | 6314767119 |
Business Fax Number: | |
Mailing Address: | 3 Premier Ct, PRT JEFF STA |
State: | NY |
Postal Code: | 117763198 |
Phone Number: | 6314767119 |
Fax Number: | |
NPI Enumeration Date: | 05/08/2006 |
NPI Last Update Date: | 08/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | PR053666-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |