Individual
CARLA LEVERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
88 ULSTER AVE, WEST BABYLON, NY 11704-1816
(347) 998-0641
Mailing address
88 ULSTER AVE, WEST BABYLON, NY 11704-1816
(347) 998-0641
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
750521
NY
Other
Enumeration date
09/17/2015
Last updated
10/03/2025
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