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Leighann Aquaviva
Student in an Organized Health Care Education/Training Program in Medford, New York
NPI 1629533112

Leighann Aquaviva is a Student in an Organized Health Care Education/Training Program based in Blue Point, NY. Leighann Aquaviva practices in Medford, NY. The NPI Number for Leighann Aquaviva is 1629533112 and holds a License No. (New York).

The current practice location address for Leighann Aquaviva is 12 Platinum Ct, Medford, NY and can be reached out via phone at 631-868-3577.

Location: 12 Platinum Ct, Medford, NY, 11715-1261
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629533112
Provider Name
Leighann Aquaviva
Credential
Provider Entity Type
Individual
Gender
Female
Address
12 Platinum Ct, Medford, NY, 11715-1261
Phone Number
631-868-3577
Fax Number
Provider Enumeration Date
02/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12 Platinum Ct
City
Medford
State
New York
Zip
11763-2247
Phone Number
631-868-3577
Fax Number
person
Provider Business Mailing Address Details
Address
12 Platinum Ct
City
Medford
State
New York
Zip
11763-2247
Phone Number
631-868-3577
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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