Most Relevant Information
Provider Data
| NPI Number: | 1003405366 |
| Provider Name: | CHAIM LEBTO MHC-LP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 106795-01 |
Most Important Dates
| Enumeration Date: | 01/12/2021 |
| Last Updated: | 01/12/2021 |
Provider Practice Location
156 BEACH 9TH ST
FAR ROCKAWAY
NY
116915636
Practice Location Phone/Fax
| Phone: | 7186863149 |
| Fax: | 7186864149 |
Provider Mailing Location
156 BEACH 9TH ST
FAR ROCKAWAY
NY
116915636
Provider Mailing Phone/Fax
| Phone: | 7186863149 |
| Fax: | 7186864149 |