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Individual

MISS LIESE MARIE LEYRER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN; AGPCNP-BC

Contact information

Practice address
380 PARK AVE, HUNTINGTON, NY 11743-2869
(631) 350-6277
Mailing address
380 PARK AVE, HUNTINGTON, NY 11743-2869
(631) 350-6277

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
653492-1
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
653492-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F311597-01
NY
363LG0600X
Gerontology Nurse Practitioner
F311597-01
NY

Other

Enumeration date
07/24/2019
Last updated
03/29/2024
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