MEDICARE: JUNIARA LESSAGE

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	164W00000X	Licensed Practical Nurse	292163-1	NY

General Provider Information

NPI Number	:	1144109711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNIARA LESSAGE

Provider Business Mailing Address
First Line	:	222 DANIEL LOW TER
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301-2335
Country	:	US
Telephone Number	:	646-239-5354
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 DANIEL LOW TER
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301-2335
Country	:	US
Telephone Number	:	646-239-5354
Fax Number	:

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

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	08/28/2025

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Directions to “ JUNIARA LESSAGE ” Practice Location

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