Individual provider · Type 1 NPI

Leighann Aquaviva

Student in an Organized Health Care Education/Training Program · Medford, NY

NPI number 1629533112 Active

Practice location

12 Platinum Ct
Medford, NY 11763-2247

Call (631) 868-3577 Map

Mailing address

235 Blue Point Ave
Blue Point, NY 11715-1261

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629533112

Leighann Aquaviva's National Provider Identifier is 1629533112, issued on Feb 8, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Medford, NY. The record was last updated on Feb 8, 2019.