Individual
MRS. LESLIE LIETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1901 1ST AVE, DEPARTMENT OF PEDIATRICS, NEW YORK, NY 10029-7404
(212) 423-6228
Mailing address
14 STUYVESANT OVAL, APT 4F, NEW YORK, NY 10009-2222
(212) 423-6228
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380263
NY
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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