Individual
VANESSA LEIWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
669 CASTLETON AVE, STATEN ISLAND, NY 10301-2028
(718) 816-3562
(718) 618-9223
Mailing address
669 CASTLETON AVE, STATEN ISLAND, NY 10301-2028
(718) 816-3562
(718) 618-9223
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
618331684
NY
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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