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Individual

ANNA T LESZYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
103 WASHINGTON ST, ELMIRA, NY 14901-3220
(607) 737-2028
(607) 737-2016
Mailing address
103 WASHINGTON ST, ELMIRA, NY 14901-3220
(607) 737-2028
(607) 737-2016

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
00026709
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0026709
LICENSE
NY
Enumeration date
12/06/2012
Last updated
12/06/2012
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