Individual
LESLIE JEAN WISSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
62 BOGART ST, HUNTINGTON STATION, NY 11746-3457
(631) 804-6371
Mailing address
62 BOGART ST, HUNTINGTON STATION, NY 11746-3457
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
875257-01
NY
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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