Individual
LEIGHANN LIBERTUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
91 FIDDLERS LN, LATHAM, NY 12110-5349
(518) 785-8591
Mailing address
91 FIDDLERS LN, LATHAM, NY 12110-5349
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
991629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03052893
—
NY
Enumeration date
05/05/2026
Last updated
05/05/2026
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