Individual
KHRYSTYNA LESKIV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1775 GRAND CONCOURSE, BRONX, NY 10453-8202
(718) 992-7669
Mailing address
1775 GRAND CONCOURSE, BRONX, NY 10453-8202
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
055613
NY
1223P0221X
Pediatric Dentistry
11259
CT
Other
Enumeration date
06/23/2010
Last updated
03/10/2017
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