Individual
MRS. LESLIE SANDERS AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 VANDERBILT LN, OLD BETHPAGE, NY 11804-1730
(516) 752-1926
(561) 752-1926
Mailing address
10 VANDERBILT LN, OLD BETHPAGE, NY 11804-1730
(516) 752-1926
(561) 752-1926
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001622-1
NY
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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