Provider Demographics
NPI:1710248596
Name:CURRAN, LESLIE REID (MA)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:REID
Last Name:CURRAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FRATERNITY LN
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-2709
Mailing Address - Country:US
Mailing Address - Phone:631-751-7363
Mailing Address - Fax:631-751-7363
Practice Address - Street 1:1363-8 VETERANS MEMORIAL HIGHWAY
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788
Practice Address - Country:US
Practice Address - Phone:631-366-3876
Practice Address - Fax:631-366-3898
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist