Individual
LEORA YOUSSEFZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, CDCES
Contact information
Practice address
555 TAXTER RD FL 3, ELMSFORD, NY 10523-2336
(914) 457-4130
(914) 909-1461
Mailing address
122 SALEM RD, ROSLYN HEIGHTS, NY 11577-1591
(516) 589-1089
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
022912-1
NY
Other
Enumeration date
02/25/2019
Last updated
02/14/2024
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