Leandra Kneeland

Individual provider Active NPI Case Manager/Care Coordinator · Fonda, NY

NPI 1053083386 · NPPES record last updated Oct 5, 2021

Key facts

NPI
1053083386
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
20 Park St
Fonda, NY 12068-4830
Phone
(518) 853-8206
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

20 Park St
Fonda, NY 12068-4830

Mailing address

PO Box 1500
Fonda, NY 12068-1500

Other providers in Fonda, NY

All providers in Fonda, NY · Case Manager/Care Coordinator in New York

Sources for this page

Verify at the official NPI Registry.