Individual
ALAINA LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 GARDEN CITY PLZ, GARDEN CITY, NY 11530-3302
(206) 914-1476
Mailing address
225 EXECUTIVE DR STE 105108, PLAINVIEW, NY 11803-1718
(516) 576-2040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1072542
NY
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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