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NPI Code Detail

MEDICARE: NINA LEONIDAS

MEDICARE: NINA LEONIDAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker102255NY

General Provider Information

NPI Number : 1346717956
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA LEONIDAS
Provider Business Mailing Address
First Line : 730 BROOK AVE
Second Line :
City : BRONX
State : NY
Zip : 10455-1333
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 730 BROOK AVE
Second Line :
City : BRONX
State : NY
Zip : 10455-1333
Country : US
Telephone Number : 718-484-1247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2018
Last Update Date : 11/01/2018

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Directions to “ NINA LEONIDAS ” Practice Location

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