Stork, Leslie

Stork, Leslie is an individual health care provider with primary practice located at 20 Arrowood Dr , Ithaca NY 14850-1869. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Stork, Leslie can be contacted via phone (607) 274-4322.

Contact Information

Primary practice address
20 Arrowood Dr Ithaca NY 14850-1869
Phone: (607) 274-4322
Fax: (607) 274-4587
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704306112 Michigan

Profile Details

NPI number 1255815478
LBN Legal business name Stork, Leslie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2018
Last updated Jan 8th, 2021 - about 5 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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