LESLIE SORMILLON-POTENCIANO

STATEN ISLAND, NY
NPI1912160904
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  007061-1)
Enumeration Date2008-07-09
Last Update Date2008-07-09
Business Address
-- LESLIE SORMILLON-POTENCIANO
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone number: 718-818-1070
Mailing Address
-- LESLIE SORMILLON-POTENCIANO
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone number:
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