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

Leany Vanessa Holguin Mellizo

Individual provider Physical Therapist · NPI 1609485093

Leany Vanessa Holguin Mellizo is a Physical Therapist in Great Neck, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone: (516) 829-0030
Fax: (516) 466-7723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 309 Northwest Dr, Farmingdale, NY 11735-4935 — (516) 420-2900

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 045857 (NY)

Record details

NPI number1609485093
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 30, 2020
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020

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