Individual
JANICE D LEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1643 E 55TH ST, BROOKLYN, NY 11234-3905
(347) 693-3754
(347) 693-3754
Mailing address
1643 E 55TH ST, BROOKLYN, NY 11234-3905
(347) 693-3754
(347) 693-3754
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
523582
NY
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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