Healthcare Provider Details

I. General information

NPI: 1265363196
Provider Name (Legal Business Name): SKYLER NOELLE LEBLANC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1097 FORT HUNTER RD
SCHENECTADY NY
12303-4564
US

IV. Provider business mailing address

1097 FORT HUNTER RD
SCHENECTADY NY
12303-4564
US

V. Phone/Fax

Practice location:
  • Phone: 518-982-4326
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number354437
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: