Organization
LEAP OF FAITH INFUSION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PELAGE RN (CEO/RN)
(718) 551-6139
Entity
Organization
Contact information
Practice address
6143 186TH ST STE C114, FRESH MEADOWS, NY 11365-2710
(718) 551-6139
(646) 558-6973
Mailing address
6143 186TH ST STE C114, FRESH MEADOWS, NY 11365-2710
(718) 551-6139
(646) 558-6973
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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