Individual
LESLIE ANDREA PULVIRENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
79 MIDDLEVILLE RD, VAMC NORTHPORT BUILDING 63, ROOM 222, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
79 MIDDLEVILLE RD, VAMC NORTHPORT BUILDING 63, ROOM 222, NORTHPORT, NY 11768-2200
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F340313-1
NY
Other
Enumeration date
05/24/2007
Last updated
11/04/2009
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