MEDICARE: MRS. LEAH NEIMAN

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	163W00000X	Registered Nurse	RN.528912	OH

General Provider Information

NPI Number	:	1205723012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LEAH NEIMAN

Provider Business Mailing Address
First Line	:	71 HALLEY DR
Second Line	:
City	:	POMONA
State	:	NY
Zip	:	10970-2108
Country	:	US
Telephone Number	:	718-213-3530
Fax Number	:

Provider Business Practice Location Address
First Line	:	3231 CENTRAL PARK W
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43617-3008
Country	:	US
Telephone Number	:	844-316-7599
Fax Number	:

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

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	06/23/2025

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