Leonardo Elizalde
Occupational Therapist
817 E 180th St
Bronx
, New York 10460-1305
Leonardo Elizalde
Occupational Therapist
817 E 180th St
Bronx
, New York 10460-1305
(763) 370-4161
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Leonardo Elizalde
- 2685 University Ave Apt 25e
- Bronx, NY
- Zip : 10468-3315
- Phone : (763) 370-4161
Second Address
- Leonardo Elizalde
- 817 E 180th St
- Bronx, NY
- Zip : 10460-1305
- Fax : (718) 220-6263
- Phone : (718) 355-9652
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 018328 | NY |
National Provider Identifier
| NPI | 1003246976 |
|---|---|
| Provider Name | Leonardo Elizalde |
| First Address | Bronx, NY 10468-3315 |
| Second Address | Bronx, NY 10460-1305 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2013 |
| Last Update Date | 06/08/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.