Individual
LESLEY FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 ELLIOTT AVE APT 3N, YONKERS, NY 10705-2110
(914) 471-6364
Mailing address
65 ELLIOTT AVE APT 3N, YONKERS, NY 10705-2110
(914) 471-6364
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382941
NY
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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