Individual
LEILA ROSE GARDOONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
3506 LIGHTFOOT LN, BALDWINSVILLE, NY 13027-9235
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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