Individual
MRS. CHI TU TRUONG-LEISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
619 FULTON AVE, HEMPSTEAD, NY 11550-4553
(516) 571-1300
(516) 572-1741
Mailing address
857 S OYSTER BAY RD, BETHPAGE, NY 11714-1030
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403977
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2021
Last updated
05/21/2024
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