Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEATRICE KIICHELLE DYER, LPN
Active Sole ProprietorLEATRICE KIICHELLE DYER, LPN is a Hospice Care, Community Based healthcare provider located in NORTHPORT, New York. NPI 1912524372 is currently active in the NPPES registry. Verify at CMS.
Hospice Care, Community Based · NORTHPORT, NY
Registration Details
- NPI Number
- 1912524372
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2020 (6.1492195382497 yrs)
- Last Updated
- Jul 1, 2020
- License
-
338518 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23 BRITTANY CTNORTHPORT, NY, 117683225Browse NY providers · Browse ZIP 11768
- Phone
- 6313740977
- Primary Specialty
-
Hospice Care, Community Based
251J00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.