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NPI Code Detail

MEDICARE: LEAH REISMAN FNP-C

MEDICARE: LEAH REISMAN FNP-C
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
1363LF0000XFamily Nurse PractitionerF346339-01NY

General Provider Information

NPI Number : 1023604832
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH REISMAN FNP-C
Provider Business Mailing Address
First Line : 969 E 29TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-3737
Country : US
Telephone Number : 718-677-7766
Fax Number :
Provider Business Practice Location Address
First Line : 913 AVENUE L
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-4707
Country : US
Telephone Number : 718-859-8391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2020
Last Update Date : 12/15/2020

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Directions to “ LEAH REISMAN FNP-C” Practice Location

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