MRS. Kristy Ann Leach, M.S.

NPI #1205970662 in Medford, New York

Provider Information

NPI Number: 1205970662
Entity Type: Individual
Name: MRS. Kristy Ann Leach, M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.S.
Enumeration Date: Feb 19, 2007
Last Updated: Jul 26, 2007

Practice Location

Address: 41 REDPINE DR
City: Medford
State: New York
ZIP Code: 11763-4326
Phone: (631) 654-5320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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