Provider Demographics
NPI:1780016345
Name:LEFF, ROBERTA (EDD)
Entity type:Individual
Prefix:DR
First Name:ROBERTA
Middle Name:
Last Name:LEFF
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 E 85TH ST
Mailing Address - Street 2:24H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-2140
Mailing Address - Country:US
Mailing Address - Phone:212-996-5497
Mailing Address - Fax:
Practice Address - Street 1:185 E 85TH ST
Practice Address - Street 2:24H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-2140
Practice Address - Country:US
Practice Address - Phone:212-996-5497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMALMHC1007101YM0800X
NYNYSLMHC0023851101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health