Leake, Keonia

Leake, Keonia is an sole proprietor health care provider with primary practice located at 61 S 31St St , Wyandanch NY 11798-2712. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Leake, Keonia can be contacted via phone (631) 920-0064.

Contact Information

Primary practice address
61 S 31St St Wyandanch NY 11798-2712
Phone: (631) 920-0064
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 290253-1 New York

Profile Details

NPI number 1376702712
LBN Legal business name Leake, Keonia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2008
Last updated Jun 2nd, 2008 - about 16 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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