Individual
ANN MARIE LEOPOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47 HUMPHREY DR, SYOSSET, NY 11791-4022
(516) 921-7171
Mailing address
39 DUNCAN AVE, LAKE RONKONKOMA, NY 11779-4419
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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