Gustavson, Leah

Gustavson, Leah is an individual health care provider with primary practice located at 763 Larkfield Rd , Commack NY 11725-3131. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gustavson, Leah can be contacted via phone (631) 462-2225.

Contact Information

Primary practice address
763 Larkfield Rd Commack NY 11725-3131
Phone: (631) 462-2225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005119 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 9105115 Florida

Profile Details

NPI number 1730197773
LBN Legal business name Gustavson, Leah
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Nov 9th, 2012 - 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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