Individual ProviderLeigh E VazquezSocial WorkerBehavioral Health & Social Service ProvidersPractice Address19 Greenridge Ave, White Plains, NY 10605-1201(914) 949-7680(914) 965-3700PECOS EnrollmentBased on the most recent information from CMS, provider Leigh E Vazquez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1447559240Provider TypeIndividualFull NameVazquez, Leigh ECredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date3/18/2011Last Updated3/18/2011Contact InformationPractice LocationPractice Address19 Greenridge Ave, White Plains, NY 10605-1201Phone(914) 949-7680FaxUnlisted FaxMailing LocationMailing Address1156 N Broadway, Yonkers, NY 10701-1108Phone(914) 965-3700FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense076054New YorkProvider IdentifiersIDDescriptionIssuerID1285628552DescriptionOtherIssuerAGENCY NPINew YorkIDWVE061DescriptionOtherIssuerMEDICARENew YorkID00355940DescriptionMedicaidIssuerUnlistedNew York