Individual
MISS LEAH VIOLAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNC
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(917) 445-6036
Mailing address
545 W 100TH ST, 4E, NEW YORK, NY 10025
(917) 445-6036
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
F381501
NY
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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