Search › New Jersey › 164W00000X
Leide Etienne
NPI 1659736106 · on the registry since 2015
Practice
- Address
- 174 Bay Ave
Glen Ridge, NJ 07028 - Phone
- (862) 218-8625
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey