Individual
LEILANI ANICAS TANDOC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 JERSEY ST, TRENTON, NJ 08611-3113
(201) 654-6397
(201) 608-9241
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(201) 654-6397
(201) 608-9241
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01216200
NJ
363LA2200X
Adult Health Nurse Practitioner
F309121-1
NY
Other
Enumeration date
04/01/2019
Last updated
03/11/2026
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