Sandi Lebenns-Mosher

NPI #1104300680 in Holbrook, New York

Provider Information

NPI Number: 1104300680
Entity Type: Individual
Name: Sandi Lebenns-Mosher
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Sep 20, 2018
Last Updated: Sep 20, 2018

Practice Location

Address: 207 SPRINGMEADOW DR UNIT C
City: Holbrook
State: New York
ZIP Code: 11741-4112
Phone: (516) 659-6234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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