Long, Leslie A
Long, Leslie A is an individual health care provider with primary practice located at 1 Hopkins Rd , Williamsville NY 14221-4641. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Long, Leslie A can be contacted via phone (716) 631-8888.Contact Information
Primary practice address
1 Hopkins Rd
Williamsville NY 14221-4641
Phone: (716) 631-8888
Fax: (716) 631-3803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 006176 | New York |
Profile Details
| NPI number | 1336140151 |
|---|---|
| LBN Legal business name | Long, Leslie A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Oct 11th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336140151 | NPPES |
| New York | MEDICAID | 01993815 |
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