Individual
MRS. LESLIE ANN NISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
16432 CROSSBAY BLVD, HOWARD BEACH, NY 11414-3742
(718) 322-5212
(718) 322-5210
Mailing address
16432 CROSSBAY BLVD, HOWARD BEACH, NY 11414-3742
(718) 322-5212
(718) 322-5210
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008483-1
NY
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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