Organization
LICENSED PRACTICAL NURSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELI ALEXSIS DE LEON LPN (LICENSED PRACTICAL NURSE)
(917) 434-1727
Entity
Organization
Contact information
Practice address
73 AVENUE C, APT 9, NEW YORK, NY 10009-6835
(917) 434-1727
Mailing address
73 AVENUE C, APT 9, NEW YORK, NY 10009-6845
(917) 434-1727
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
306669
NY
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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