Most Relevant Information
Provider Data
| NPI Number: | 1003246976 |
| Provider Name: | LEONARDO ELIZALDE OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 018328 |
Most Important Dates
| Enumeration Date: | 11/13/2013 |
| Last Updated: | 08/06/2014 |
Provider Practice Location
817 E 180TH ST
BRONX
NY
104601305
Practice Location Phone/Fax
| Phone: | 7183559652 |
| Fax: | 7182206263 |
Provider Mailing Location
2685 UNIVERSITY AVE
APT 25E
BRONX
NY
104683315
Provider Mailing Phone/Fax
| Phone: | 7633704161 |
| Fax: |