Organization
VILLAGE HEALTH FAMILY NP PLLC
Active
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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