# STAY HEALTHY, NP IN ADULT HEALTH PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144513813
- **Authorized official:** LEONID KOL NP (OWNER)
- **Authorized official phone:** (718) 850-6345

## Contact information

- **Practice address:** 13876 QUEENS BLVD, 1ST FLOOR, BRIARWOOD, NY 11435-2930
- **Practice address phone:** (718) 850-6345
- **Practice address fax:** (718) 559-4896
- **Mailing address:** 13876 QUEENS BLVD, 1ST FLOOR, BRIARWOOD, NY 11435-2930
- **Mailing address phone:** (718) 850-6345
- **Mailing address fax:** (718) 559-4896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | F304465 | NY | Yes |

## Other

- **Enumeration date:** 05/27/2011
- **Last updated:** 05/27/2011