Search › New York › 163W00000X
Keonia Leake
NPI 1376702712 · on the registry since 2008 · sole proprietor
Practice
- Address
- 35 Brooklyn Ave
Wyandanch, NY 11798 - Phone
- (347) 664-4657
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York