Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jesse Ryan Deleonardis, CT

Individual provider Specialist · NPI 1396144382

Jesse Ryan Deleonardis, CT is a Specialist in Lindenhurst, New York. Registered with an NPI since 2014.

In the registry since
2014
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Practice location Address checks out

672 Wellwood Ave Ste 2
Lindenhurst, NY 11757-1677
Phone: (631) 225-2623
Fax: (631) 991-3386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1396144382
Entity typeIndividual (Type 1)
GenderFemale
Credentials CT
Sole proprietorNo
NPI enumeratedAugust 15, 2014
Last updated in NPPESAugust 15, 2014
Mailing address672 Wellwood Ave, Suite 2, Lindenhurst, NY 11757-1677

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