Healthcare Provider Details

I. General information

NPI: 1548599764
Provider Name (Legal Business Name): LEDA KUSHNER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2009
Last Update Date: 10/30/2023
Certification Date: 10/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 W 108TH ST
NEW YORK NY
10025-2956
US

IV. Provider business mailing address

14 BELLEVIEW PL
NEW ROCHELLE NY
10801-2711
US

V. Phone/Fax

Practice location:
  • Phone: 202-494-7550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number837624
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: