Individual
NIKKI LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17900 LINDEN BLVD, JAMAICA, NY 11425-0001
(718) 526-1000
Mailing address
8371 116TH ST, 7B, RICHMOND HILL, NY 11418-3448
(718) 526-1000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
34340606
NY
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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