Leighann Aquaviva
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Medford, NY
NPI 1629533112 · NPPES record last updated Feb 8, 2019
Key facts
- NPI
- 1629533112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 12 Platinum CT
Medford, NY 11763-2247 - Phone
- (631) 868-3577
- NPI assigned
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Angels Center, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
12 Platinum CT
Medford, NY 11763-2247
Mailing address
235 Blue Point Ave
Blue Point, NY 11715-1261
Phone (631) 363-5794
Other providers in Medford, NY
- David Amram
- Kerry Anderson
- Breanna Andrews
- Angela J Bailey & Associates, Inc
- Julaine Marie Aprea
- Jennifer Rose Aragones-Zaun
- Alexis Ares
- Christine A Arkali
- Danard Armstrong
- Jillian Ashkenazy
All providers in Medford, NY · Student in an Organized Health Care Education/Training Program 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 Feb 8, 2019. 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.