JACKIE LEAKS

STATEN ISLAND, NY
NPI1912461492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-01-29
Last Update Date2019-01-29
Business Address
JACKIE LEAKS
2707 HYLAN BLVD
STATEN ISLAND, NY 10306-4657
Phone number: 718-851-3300
Mailing Address
JACKIE LEAKS
2707 HYLAN BLVD
STATEN ISLAND, NY 10306-4657
Phone number: 718-851-3300