Individual
DR. LEIGH ELKINS CHARVET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
HSC 12, STONY BROOK, NY 11794-8121
(631) 444-7832
(631) 444-1474
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650
(631) 638-4170
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
013469-1
NY
2084N0400X
Neurology Physician
013469
NY
Other
Enumeration date
04/22/2013
Last updated
04/29/2013
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