Individual
JAMES PATRICK LEAHY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
375 SEGUINE AVE, STATEN ISLAND, NY 10309-3932
(718) 226-9000
Mailing address
375 SEGUINE AVE, STATEN ISLAND, NY 10309-3932
(718) 226-9000
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
F402586-1
NY
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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