Individual
VERA A LEGNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CHANGO DR, BALLSTON LAKE, NY 12019-9207
(518) 881-0521
Mailing address
100 CHANGO DR, BALLSTON LAKE, NY 12019-9207
(518) 881-0521
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
205839-1
NY
251300000X
Local Education Agency (LEA)
Primary
205839-1
NY
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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