Individual
LEAH SERVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8000
Mailing address
1527 11TH ST, FORT LEE, NJ 07024-2123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR17717200
NJ
363L00000X
Nurse Practitioner
Primary
F431247
NY
Other
Enumeration date
06/07/2017
Last updated
11/17/2025
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