Individual
PATRICIA CAROL LEISTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
120 MINEOLA BOULEVARD, SUITE 210, MINEOLA, NY 11501
(516) 663-4600
(516) 663-3070
Mailing address
222 STATION PLAZA NORTH, SUITE 611, MINEOLA, NY 11501
(516) 663-2532
(516) 663-2233
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
001517
NY
133V00000X
Registered Dietitian
Primary
001517
NY
Other
Enumeration date
03/16/2007
Last updated
09/11/2025
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