Individual
LEAHANA MARIE MOLZAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-8330
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-8191
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
022674
NY
Other
Enumeration date
02/01/2019
Last updated
05/20/2022
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