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Individual

LEILANI GREENLEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
18 E 41ST ST, 14TH FLOOR, NEW YORK, NY 10017-6222
(212) 719-9600
(212) 391-4310
Mailing address
2966 BRIGGS AVE, 4E, BRONX, NY 10458-2003

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
292294-1
NY

Other

Enumeration date
08/19/2008
Last updated
08/19/2008
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