Individual
LESLIE BARDUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
2780 MIDDLE COUNTRY RD, LAKE GROVE, NY 11755-2124
(631) 333-7864
Mailing address
2780 MIDDLE COUNTRY RD, LAKE GROVE, NY 11755-2124
(631) 333-7864
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
14000058890
NY
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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