Individual
LEONTYNE CHANG-GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11834 201ST ST, SAINT ALBANS, NY 11412-3527
(347) 423-9672
Mailing address
11834 201ST ST, SAINT ALBANS, NY 11412-3527
(347) 423-9672
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
567220
NY
163WC1500X
Community Health Registered Nurse
Primary
567220
NY
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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