Provider Demographics
NPI:1144496654
Name:SCHWEITZER-MILLER, LESLIE R (MD)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:R
Last Name:SCHWEITZER-MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BARROW ST
Mailing Address - Street 2:4N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-3861
Mailing Address - Country:US
Mailing Address - Phone:212-807-6768
Mailing Address - Fax:212-656-1155
Practice Address - Street 1:9 BARROW ST
Practice Address - Street 2:4N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-3861
Practice Address - Country:US
Practice Address - Phone:212-807-6768
Practice Address - Fax:212-656-1155
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1449172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry