LEELAMMA V KOIKKAL R.N
NPI 1235221581
Registered Nurse - General Practice in Staten Island, NY

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WG0000X and a focus in General Practice.

Active since September 28, 2006

2324 FOREST AVE, STATEN ISLAND, NY 10303(718) 447-0200(718) 981-1431 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Leelamma V Koikkal R.n NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEELAMMA V KOIKKAL R.N (NPI 1235221581) is an individual general practice provider in Staten Island, New York, licensed in New York (304062) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1235221581

Entity TypeIndividualFemale

Primary Taxonomy163WG0000X

Provider Legal NameLEELAMMA V KOIKKALCredential: R.N

Location Address2324 FOREST AVEStaten Island, NY 10303-1506

Mailing Address175 Westwood AveStaten Island, NY 10314-5414 · (718) 494-6258 · Fax (718) 981-1431

Phone(718) 447-0200

Fax(718) 981-1431

Sole ProprietorYes

Enumeration DateSeptember 28, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1235221581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers

Taxonomy Code163WG0000X

License✔ Licensed in NY · 304062

2324 FOREST AVE, Staten Island, NY 10303

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