Leak, Darlyne

Leak, Darlyne is an sole proprietor health care provider with primary practice located at 105 Stuyvesant Ave , Mastic NY 11950-2417. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Leak, Darlyne can be contacted via phone (631) 772-5452.

Contact Information

Primary practice address
105 Stuyvesant Ave Mastic NY 11950-2417
Phone: (631) 772-5452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 560823-1 New York

Profile Details

NPI number 1538375894
LBN Legal business name Leak, Darlyne
Credentials RN BSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Dec 20th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538375894 NPPES
New York MEDICAID 02689518

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