Individual
MR. SCOTT JOSEPH LEOGRANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
49 LILAC RD, WESTHAMPTON BEACH, NY 11978-2008
(631) 288-3800
Mailing address
7 JERUSALEM HOLLOW RD, MANORVILLE, NY 11949-3121
(631) 874-2578
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
5560828
NY
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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