# LESLIE JEANNITON PHYSICAL THERAPIST P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891194270
- **Authorized official:** MRS. LESLIE MARIE JEANNITON MS.,DPT (PHYSICAL THERAPY)
- **Authorized official phone:** (516) 374-7477

## Contact information

- **Practice address:** 172 NOYE LN, WOODMERE, NY 11598-1837
- **Practice address phone:** (516) 374-7477
- **Practice address fax:** (516) 374-7477
- **Mailing address:** 172 NOYE LN, WOODMERE, NY 11598-1837
- **Mailing address phone:** (516) 374-7477
- **Mailing address fax:** (516) 374-7477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 009516-1 | NY | Yes |

## Other

- **Enumeration date:** 08/21/2014
- **Last updated:** 08/21/2014