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Keonia Leake
Licensed Practical Nurse in Wyandanch, New York
NPI 1376702712

Keonia Leake is a Licensed Practical Nurse based in Wyandanch, NY. Keonia Leake practices in Wyandanch, NY. The NPI Number for Keonia Leake is 1376702712 and holds a License No. 290253-1 (New York).

The current practice location address for Keonia Leake is 61 S 31St St, Wyandanch, NY and can be reached out via phone at 631-920-0064.

Location: 61 S 31St St, Wyandanch, NY, 11798-2712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376702712
Provider Name
Keonia Leake
Credential
Provider Entity Type
Individual
Gender
Female
Address
61 S 31St St, Wyandanch, NY, 11798-2712
Phone Number
631-920-0064
Fax Number
Provider Enumeration Date
06/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
61 S 31St St
City
Wyandanch
State
New York
Zip
11798-2712
Phone Number
631-920-0064
Fax Number
person
Provider Business Mailing Address Details
Address
61 S 31St St
City
Wyandanch
State
New York
Zip
11798-2712
Phone Number
631-920-0064
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
290253-1 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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