Individual
LEIANA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PELHAM PKWY S, ROOM 803, BRONX, NY 10461-1138
(718) 918-6658
Mailing address
1956 BURKE AVE, BRONX, NY 10469-3183
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
F381298-1
NY
Other
Enumeration date
01/23/2007
Last updated
09/03/2015
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