Individual
MS. NICOLE RAE LEONHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1275 YORK AVE, BOX 499, NEW YORK, NY 10065-6007
(212) 639-8235
(212) 717-3487
Mailing address
1275 YORK AVE, BOX 499, NEW YORK, NY 10065-6007
(212) 639-8235
(212) 717-3487
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304033
NY
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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