Individual
BRIANA RONIA LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8708 GLENWOOD RD, BROOKLYN, NY 11236-3412
(718) 433-6881
Mailing address
18742 KEESEVILLE AVE, SAINT ALBANS, NY 11412-2332
(718) 433-6881
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1713780231
NY
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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