Individual
MS. PRISCILLA DAPHNE LEGAGNEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
560 W 168TH ST, NEW YORK, NY 10032-3917
(212) 305-4318
Mailing address
204 LEFFERTS PL APT 1, BROOKLYN, NY 11238-2909
(954) 665-9411
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
2000123320
NY
367500000X
Certified Registered Nurse Anesthetist
143709
NY
Other
Enumeration date
07/09/2020
Last updated
12/08/2022
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