Organization
LEANNE M MOLIA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEANNE MOLIA MD (PRESIDENT)
(631) 331-1966
Entity
Organization
Contact information
Practice address
3 MEDICAL DR STE B, PORT JEFFERSON STATION, NY 11776-1597
(631) 331-1966
Mailing address
3 MEDICAL DR STE B, PORT JEFFERSON STATION, NY 11776-1597
(631) 331-1966
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
190247
NY
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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