Individual
JOSEPH LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 TOWER LN, LEVITTOWN, NY 11756-3925
(516) 480-5564
Mailing address
17 TOWER LN, LEVITTOWN, NY 11756-3925
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2960
NY
Other
Enumeration date
02/20/2021
Last updated
02/20/2021
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