Individual
LESLIE ANN BURDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3039 PEONY FARM LN, BALDWINSVILLE, NY 13027-1631
(315) 956-7008
Mailing address
3039 PEONY FARM LN, BALDWINSVILLE, NY 13027-1631
(315) 956-7008
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
738582
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
738582
NY
Other
Enumeration date
08/20/2025
Last updated
05/02/2026
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