1942594957 NPI number — MRS. LESLIE S(CHMONES) GOLDSCHMID SLP

Table of content: MRS. LESLIE S(CHMONES) GOLDSCHMID SLP (NPI 1942594957)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942594957 NPI number — MRS. LESLIE S(CHMONES) GOLDSCHMID SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GOLDSCHMID
Provider First Name:
LESLIE
Provider Middle Name:
S(CHMONES)
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCHMONES
Provider Other First Name:
LESLIE
Provider Other Middle Name:
ELLEN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
SLP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1942594957
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/07/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
250 MURRAY AVE.
Provider Second Line Business Mailing Address:
MURRAY AVENUE SCHOOL
Provider Business Mailing Address City Name:
LARCHMONT
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10538
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-220-3701
Provider Business Mailing Address Fax Number:
914-220-3715

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
250 MURRAY AVE.
Provider Second Line Business Practice Location Address:
MURRAY AVENUE SCHOOL
Provider Business Practice Location Address City Name:
LARCHMONT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-220-3701
Provider Business Practice Location Address Fax Number:
914-220-3715
Provider Enumeration Date:
06/07/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  0019671 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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