Russell-Leslie, Marita Ann
Russell-Leslie, Marita Ann is an individual health care provider with primary practice located at 253 Bayville Ave , Bayville NY 11709-1670. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Russell-Leslie, Marita Ann can be contacted via phone (516) 628-3640.Contact Information
Primary practice address
253 Bayville Ave
Bayville NY 11709-1670
Phone: (516) 628-3640
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 35873 | New York |
Profile Details
| NPI number | 1740504505 |
|---|---|
| LBN Legal business name | Russell-Leslie, Marita Ann |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2010 |
| Last updated | Mar 23rd, 2010 - about 14 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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