Antaeya Nyree Leake-gaylord PHYSICIAN ASSISTANT

NPI 1760769152 - Physician Assistant - 363AS0400X

NPI Details
NPI 1760769152
Gender Female
Enumeration Date 11/14/2011
Last Updated 11/14/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
31 HALLEY DR
POMONA NY, 10970-2001, US
Phone (845) 664-0740
Fax (845) 354-7735
Business Location
31 HALLEY DR
POMONA NY, 10970-2001, US
Phone (845) 664-0740
Fax (845) 354-7735
Toxanomy
Taxonomy Code 363AS0400X
License State New York
License Number 014459
Remove 1760769152 NPI Number
 

According to our database, Ms. Antaeya Nyree Leake-gaylord PHYSICIAN ASSISTANT NPI is 1760769152, taxonomy code is 363AS0400X and license number is 014459, license state is located at New York. Antaeya Nyree Leake-gaylord PHYSICIAN ASSISTANT physically located at 31 Halley Dr, Pomona NY, 10970-2001. NPI Number Antaeya Nyree Leake-gaylord PHYSICIAN ASSISTANT has the Individual type.

Sponsored links

1760769152 NPI number is provided on an as is basis without warranty of any kind. 1760769152 is maintained by the National Plan & Provider Enumeration System. The contents of Antaeya Nyree Leake-gaylord PHYSICIAN ASSISTANT are for informational purposes only.