Individual
DR. LEIGH RUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2174 HEWLETT AVE STE 200, MERRICK, NY 11566-3620
(631) 486-0670
Mailing address
2174 HEWLETT AVE STE 200, MERRICK, NY 11566-3620
(516) 858-2877
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023808
NY
Other
Enumeration date
08/18/2016
Last updated
04/26/2022
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