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Organization

VILLAGE HEALTH FAMILY NP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLIE LEVEILLE NP (OWNER)
(772) 834-2444
Entity
Organization

Contact information

Practice address
4 JOHN CALVIN DR, BLAUVELT, NY 10913-1001
(772) 834-2444
Mailing address
PO BOX 47, BLAUVELT, NY 10913-0047
(772) 834-2444

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
261QF0050X
Non-Surgical Family Planning Clinic/Center
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
05/25/2021
Last updated
05/25/2021
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