# NEW LEAF ADULT & WOMEN'S HEALTH NP, PLLC

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

## Provider details

- **NPI number:** 1619563566
- **Authorized official:** ENJOLI MCQUEEN KING NP (PROVIDER)
- **Authorized official phone:** (718) 569-7486

## Contact information

- **Practice address:** 941 FOREST AVE, STATEN ISLAND, NY 10310-2412
- **Practice address phone:** (718) 569-7486
- **Mailing address:** 941 FOREST AVE, STATEN ISLAND, NY 10310-2412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/15/2020
- **Last updated:** 12/15/2020