Individual
KIMBERLY JADE LEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
727 CLASSON AVE, BROOKLYN, NY 11238-3704
(718) 636-1000
Mailing address
727 CLASSON AVE, BROOKLYN, NY 11238-3704
(718) 636-1000
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
780974
NY
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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