Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Edward Leal

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578149993

Jack Edward Leal is a Student in an Organized Health Care Education/Training Program in East Meadow, New York. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone: (516) 572-0123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1578149993
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2021
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

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