Individual
MRS. LESLIE ANN BENNETT-MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1400 NOYES ST, UTICA, NY 13502-3854
(315) 738-3800
Mailing address
PO BOX 127, PORT LEYDEN, NY 13433-0127
(315) 771-7684
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
666739-01
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
666739-01
NY
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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