Individual
DR. LESLIE PRUSNOFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
361 ROUTE 202, SOMERS, NY 10589-3246
(914) 631-6880
(914) 631-2422
Mailing address
361 ROUTE 202, SOMERS, NY 10589-3246
(914) 631-6880
(914) 631-2422
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
135257
NY
Other
Enumeration date
06/21/2005
Last updated
01/07/2016
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