Provider Demographics
NPI:1679962450
Name:LEONE, TRACEY ANN (RN)
Entity Type:Individual
Prefix:MS
First Name:TRACEY
Middle Name:ANN
Last Name:LEONE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:TRACEY
Other - Middle Name:
Other - Last Name:LEONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:530 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12305-2011
Mailing Address - Country:US
Mailing Address - Phone:518-269-2203
Mailing Address - Fax:518-883-7071
Practice Address - Street 1:530 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12305-2011
Practice Address - Country:US
Practice Address - Phone:518-346-1284
Practice Address - Fax:518-377-8714
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-15
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY443763-1251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care