Individual
LESLIE SONDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
30 HAGEN DRIVE, SUITE 220 THE LINDEN OAKS MEDICAL CAMPUS, ROCHESTER, NY 14625-2658
(585) 295-5302
(585) 248-0567
Mailing address
30 HAGEN DRIVE, SUITE 220 THE LINDEN OAKS MEDICAL CAMPUS, ROCHESTER, NY 14625-2658
(585) 295-5302
(585) 248-0567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9562
GA
363AS0400X
Surgical Physician Assistant
Primary
009373
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023187085
GRO GROUP
NY
01
—
117210CU
PREFERRED CARE
NY
01
—
P019009373
EXCELLUS
NY
Enumeration date
06/19/2006
Last updated
02/21/2020
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