LECIA CHRISTINE GANNON

VALHALLA, NY
NPI1992186019
Professional NameLECIA CHRISTINE GANNON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F339702-1)
Enumeration Date2015-06-15
Last Update Date2020-02-27
Business Address
LECIA CHRISTINE GANNON FNP
100 WOODS RD
VALHALLA, NY 10595-1530
Phone number: 914-493-1177
Mailing Address
LECIA CHRISTINE GANNON FNP
100 WOODS RD
VALHALLA, NY 10595-1530
Phone number: 914-493-1177