MEDICARE: JOSEPHINE CASILLAN-LEBLANC 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
1	363LP2300X	Primary Care Nurse Practitioner	F357219	NY

General Provider Information

NPI Number	:	1023992740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPHINE CASILLAN-LEBLANC FNP-C

Provider Business Mailing Address
First Line	:	19 WINCHESTER AVE APT 2A
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10710-5822
Country	:	US
Telephone Number	:	914-426-1012
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 WINCHESTER AVE APT 2A
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10710-5822
Country	:	US
Telephone Number	:	914-426-1012
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2025
Last Update Date	:	06/10/2026

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