Individual
DR. GARY LEESUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1545 CENTRAL AVE, COLONIE, NY 12205-5060
(518) 452-1111
Mailing address
3070 NW 48TH TER, APT 301, LAUDERDALE LAKES, FL 33313-7243
(305) 903-9239
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007808-1
NY
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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