Provider Demographics
NPI:1346610243
Name:LEANO-APOSTOL, KRYSTLELYN (PT)
Entity Type:Individual
Prefix:
First Name:KRYSTLELYN
Middle Name:
Last Name:LEANO-APOSTOL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14018 BURDEN CRES APT 403
Mailing Address - Street 2:
Mailing Address - City:BRIARWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11435-2331
Mailing Address - Country:US
Mailing Address - Phone:347-461-2386
Mailing Address - Fax:
Practice Address - Street 1:14018 BURDEN CRES APT 403
Practice Address - Street 2:
Practice Address - City:BRIARWOOD
Practice Address - State:NY
Practice Address - Zip Code:11435-2331
Practice Address - Country:US
Practice Address - Phone:347-461-2386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038864-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist