Individual
LESLEY ANNE BENNICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
DEPARTMENT OF ANESTHESIOLOGY STONY BROOK MEDICINE, STONY BROOK, NY 11794-6402
(631) 444-2975
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
279323
NY
207L00000X
Anesthesiology Physician
Primary
279323-1
NY
Other
Enumeration date
04/12/2012
Last updated
05/02/2018
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