Individual
LEENA J ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
506 STEWART AVE, GARDEN CITY, NY 11530-4706
(516) 574-2822
Mailing address
47 BRIAN ST, NEW HYDE PARK, NY 11040-2430
(516) 574-2822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
578345
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403750
NY
Other
Enumeration date
11/27/2019
Last updated
08/09/2022
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