Most Relevant Information
Provider Data
| NPI Number: | 1003698630 |
| Provider Name: | LEORA N SPIVAK |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 121208-01 |
Most Important Dates
| Enumeration Date: | 10/18/2023 |
| Last Updated: | 10/18/2023 |
Provider Practice Location
1398 CARROLL ST
BROOKLYN
NY
112134404
Practice Location Phone/Fax
| Phone: | 7182084780 |
| Fax: |
Provider Mailing Location
88 SHELBORNE AVE
TORONTO
ONTARIO
M5N 1Z3
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |