TANYA LEACOCK

AMITYVILLE, NY
NPI1003186511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  616321-1)
Enumeration Date2011-12-31
Last Update Date2011-12-31
Business Address
-- TANYA LEACOCK RN
88 BENBURB ST
AMITYVILLE, NY 11701-1453
Phone number: 516-366-8131
Mailing Address
-- TANYA LEACOCK RN
88 BENBURB ST
AMITYVILLE, NY 11701-1453
Phone number: 516-366-8131