Individual
LESLIEANN BOUCAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SANFORD FARMS SHOPPING CTR, AMSTERDAM, NY 12010-7538
(518) 843-0189
(518) 843-0460
Mailing address
101 SANFORD FARMS SHOPPING CTR, AMSTERDAM, NY 12010-7538
(518) 843-0189
(518) 843-0460
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
010763
NY
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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