Individual
MS. LESLIE RAND WELSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 E MAIN ST, HUNTINGTON, NY 11743-2920
(631) 549-0610
(631) 351-8479
Mailing address
226 E MAIN ST, HUNTINGTON, NY 11743-2920
(631) 549-0610
(631) 351-8479
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
005324-1
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
005324-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125356P
HIP PROVIDER ID#
NY
01
—
287735
VYTRA ID#
NY
01
—
7101452
AETNA ID#
NY
01
—
AZ00422
MDNY PROVIDER ID#
NY
01
—
P2541942
OXFORD PROVIDER ID#
NY
Enumeration date
10/21/2006
Last updated
09/11/2025
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