Leyva, Gustavo

Leyva, Gustavo is an individual health care provider with primary practice located at 117-11 Myrtle Avenue , Richmond Hill NY 11418. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Leyva, Gustavo can be contacted via phone (718) 849-6300.

Contact Information

Primary practice address
117-11 Myrtle Avenue Richmond Hill NY 11418
Phone: (718) 849-6300
Fax: (718) 849-1093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18554 New York

Profile Details

NPI number 1124101993
LBN Legal business name Leyva, Gustavo
Credentials CASAC TRAINEE
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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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