Individual
BELANDE LEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12017 230TH ST, CAMBRIA HEIGHTS, NY 11411-2213
(718) 468-6923
Mailing address
12017 230TH ST, CAMBRIA HEIGHTS, NY 11411-2213
(718) 468-6923
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
297529
NY
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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