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Individual

LESLIE ELIZABETH AVENDANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, MS

Contact information

Practice address
15813 72ND AVE, FRESH MEADOWS, NY 11365-4100
(718) 380-7600
(718) 380-6092
Mailing address
22 PARMA RD, ISLAND PARK, NY 11558-1516
(718) 679-2169
(516) 665-2607

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
023900-1
NY

Other

Enumeration date
11/15/2008
Last updated
11/15/2008
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