Individual
LESLIE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-1000
(516) 763-0947
Mailing address
153 FONDA RD, ROCKVILLE CENTRE, NY 11570-2708
(516) 763-0947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F301688
NY
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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