Doctor Name: | MS. HELEN LEITL |
NPI Number: | 1508075938 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | F380854 |
Business Practice Address: | Sco Family Of Services, Infirmary Park And Downing Avenues Sea Cliff, NY - 11579 |
Business Phone Number: | 5166711111 |
Business Fax Number: | 5166717673 |
Mailing Address: | 29 Kellum St, HUNTINGTON STATION |
State: | NY |
Postal Code: | 117463867 |
Phone Number: | 5166711111 |
Fax Number: | 5166717673 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 06/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | F380854 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |