Tesfa Legair
Individual provider Active NPI Licensed Practical Nurse · Peekskill, NY
NPI 1194070573 · NPPES record last updated Jul 20, 2012
Key facts
- NPI
- 1194070573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 308375 (NY)
- Practice address
- 1422 Main St
Peekskill, NY 10566-3113 - Phone
- (347) 791-0537
- NPI assigned
- Jul 20, 2012
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308375 | NY | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 308375 | NY | Yes |
Addresses
Primary practice location
1422 Main St
Peekskill, NY 10566-3113
Mailing address
1422 Main St
Peekskill, NY 10566-3113
Other providers in Peekskill, NY
- Pamela Lynn Lambert
- Elizabeth Lazo
- Michael W Lee
- Tiesha Shante Lee
- Kelly Lefevre-Smith
- Amy B. Levin
- Lexington Center for Recovery, Inc.
- Kyle Lia
- Regina Lindsay
- Violet C Lipford
All providers in Peekskill, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.