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

Nicole Leahy

Individual provider Specialist · NPI 1770167991

Nicole Leahy is a Specialist in Staten Island, New York. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

143 Wiman Ave
Staten Island, NY 10308-3342
Phone: (718) 356-8888
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1770167991
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 12, 2021
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021

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