Individual provider · NPI-1

Constance Colter-Leonick, PNP

Nurse Practitioner, Pediatrics · Valhalla, NY

NPI number1881727733
StatusActive
Last updated in NPPESMar 13, 2015

Details

NPI
1881727733
Entity type
Individual (NPI-1)
Name
Constance Colter-Leonick
Credential
PNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 13, 2007
Last updated
Mar 13, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsF380531NYYes

Practice location

100 Woods Rd
Skyline Office 1n-H14
Valhalla, NY 10595-1530

Phone 914-594-2156 · Fax 914-594-2165

Mailing address

14 Atlanta Ave
East Williston, NY 11596-2402

Phone 516-741-4833

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