Provider Demographics
NPI:1326287103
Name:LETO, PATRICIA G (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:G
Last Name:LETO
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 NASSAU BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5585
Mailing Address - Country:US
Mailing Address - Phone:516-644-1837
Mailing Address - Fax:516-741-3149
Practice Address - Street 1:500 OLD COUNTRY RD
Practice Address - Street 2:SUITE 300
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-1901
Practice Address - Country:US
Practice Address - Phone:516-644-1837
Practice Address - Fax:516-741-3149
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400582-1163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult