Provider Demographics
NPI:1902830821
Name:STONE, LESLIE ANNE (DR AUD)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:ANNE
Last Name:STONE
Suffix:
Gender:F
Credentials:DR AUD
Other - Prefix:MRS
Other - First Name:LESLIE
Other - Middle Name:ANNE
Other - Last Name:HULTBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DR
Mailing Address - Street 1:2329 FOOTE AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-9357
Mailing Address - Country:US
Mailing Address - Phone:716-664-3000
Mailing Address - Fax:716-229-4412
Practice Address - Street 1:2329 FOOTE AVENUE EXT
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-9357
Practice Address - Country:US
Practice Address - Phone:716-664-3000
Practice Address - Fax:716-229-4412
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001897-1231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA4883Medicare PIN