Individual
DR. LESLIE LUCIEN CITROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
11 MEDICAL PARK DR, SUITE 106, POMONA, NY 10970-3559
(845) 398-5595
Mailing address
4 BLUE SKY DR, SUFFERN, NY 10901-2307
(845) 398-5595
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
170947
NY
2084P0800X
Psychiatry Physician
25MA04780900
NJ
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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