Individual
LESLEY WHITMAN STOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 VALLEY VIEW RD, GREAT NECK, NY 11021-3917
(516) 376-0872
Mailing address
25 VALLEY VIEW RD, GREAT NECK, NY 11021-3917
(516) 376-0872
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001202-01
NY
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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