Individual
MRS. KYLE PENBERTHY LEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
43 CONESTOGA TRL, SPARTA, NJ 07871-2509
(914) 443-0138
Mailing address
26 E BROOME ST, PORT JERVIS, NY 12771-1907
(845) 341-6436
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
08/26/2013
Last updated
07/21/2022
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