Tanis, Leonne

Tanis, Leonne is an individual health care provider with primary practice located at 439 Port Richmond Ave , Staten Island NY 10302-1714. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Tanis, Leonne can be contacted via phone (718) 876-1732.

Contact Information

Primary practice address
439 Port Richmond Ave Staten Island NY 10302-1714
Phone: (718) 876-1732
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F002225 New York

Profile Details

NPI number 1356086375
LBN Legal business name Tanis, Leonne
Credentials CNM, WHNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2022
Last updated Dec 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356086375 NPPES
New York Other F002225 NEW YORK STATE

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