Provider Demographics
NPI:1689128225
Name:POLITI, LEILANI
Entity type:Individual
Prefix:
First Name:LEILANI
Middle Name:
Last Name:POLITI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 CHESTNUT LN
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-2009
Mailing Address - Country:US
Mailing Address - Phone:845-863-3986
Mailing Address - Fax:
Practice Address - Street 1:65 CHAPEL ST
Practice Address - Street 2:
Practice Address - City:GARNERVILLE
Practice Address - State:NY
Practice Address - Zip Code:10923-1238
Practice Address - Country:US
Practice Address - Phone:845-942-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-11
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist