Leistman, Patricia Carol

Leistman, Patricia Carol is an individual health care provider with primary practice located at 120 Mineola Boulevard Suite 210, Mineola NY 11501. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Leistman, Patricia Carol can be contacted via phone (516) 663-4600.

Contact Information

Primary practice address
120 Mineola Boulevard Suite 210 Mineola NY 11501
Phone: (516) 663-4600
Fax: (516) 663-3070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 001517 New York
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 001517 New York

Profile Details

NPI number 1578687695
LBN Legal business name Leistman, Patricia Carol
Credentials MS, RD, CDN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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