Individual
MRS. VIRGINIA KIN LEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305
(718) 256-8818
(718) 234-2314
Mailing address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 256-8818
(718) 234-2314
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
475580-1
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
475580
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2997157
—
NY
Enumeration date
10/04/2010
Last updated
08/06/2018
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