Individual
DR. LESLIE A LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1 HOPKINS RD, WILLIAMSVILLE, NY 14221-4641
(716) 631-8888
(716) 631-3803
Mailing address
1 HOPKINS RD, WILLIAMSVILLE, NY 14221-4641
(716) 631-8888
(716) 631-3803
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006176
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01993815
—
NY
Enumeration date
08/02/2005
Last updated
10/11/2007
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