Leo, Carol M

Leo, Carol M is an sole proprietor health care provider with primary practice located at 211 Church St Cramer House, Saratoga Springs NY 12866-1003. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Leo, Carol M can be contacted via phone (518) 584-9030.

Contact Information

Primary practice address
211 Church St Cramer House Saratoga Springs NY 12866-1003
Phone: (518) 584-9030
Fax: (518) 581-1709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 070305-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X New York

Profile Details

NPI number 1710916150
LBN Legal business name Leo, Carol M
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated Nov 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710916150 NPPES
New York MEDICAID 00639496
New York MEDICAID 03199997

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