Individual
LEANNA BAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 1ST AVE, SKIRBALL 9V, NEW YORK, NY 10016-6402
(212) 263-2329
Mailing address
530 1ST AVE, SKIRBALL 9V, NEW YORK, NY 10016-6402
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307361-1
NY
Other
Enumeration date
06/29/2015
Last updated
10/30/2015
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