Leslie D Casey, RN

Individual provider Active NPI Registered Nurse · Brockport, NY

NPI 1245706241 · NPPES record last updated Oct 17, 2018

Key facts

NPI
1245706241
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
517812 (NY)
Practice address
9885 W Ridge Rd
Brockport, NY 14420-9421
Phone
(585) 727-6009
NPI assigned
Oct 17, 2018
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
517812NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 517812 NY Yes

Addresses

Primary practice location

9885 W Ridge Rd
Brockport, NY 14420-9421

Mailing address

9885 W Ridge Rd
Brockport, NY 14420-9421
Phone (585) 727-6009

Other providers in Brockport, NY

All providers in Brockport, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.