Individual
CHRISTINA LEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 W 124TH ST, NEW YORK, NY 10027-4920
(212) 932-2810
Mailing address
22 CHAPEL ST, BROOKLYN, NY 11201-1903
(718) 260-2927
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
297644
NY
Other
Enumeration date
01/05/2019
Last updated
01/05/2019
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