Individual
ALEXANDER BRANDON LEONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
64 GRANT ST, ROOSEVELT, NY 11575-2217
(516) 362-9504
Mailing address
64 GRANT ST, ROOSEVELT, NY 11575-2217
(516) 362-9504
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
758880
NY
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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