Individual
JESSICA LEANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5800
Mailing address
349 TREMONT AVE, EAST ORANGE, NJ 07018-1022
(973) 672-1536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
781276
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
431641
NY
Other
Enumeration date
10/29/2019
Last updated
08/29/2022
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