Healthcare Provider Details

I. General information

NPI: 1821950759
Provider Name (Legal Business Name): LEAH GOLDA NEMON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEAH NEMON-HACKNER

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 ROUTE 59 STE 143
MONSEY NY
10952-3543
US

IV. Provider business mailing address

3 OAK RIDGE RD
POMONA NY
10970-2714
US

V. Phone/Fax

Practice location:
  • Phone: 845-371-6464
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number007786
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: