Individual
LESLEY M NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 E 149TH ST, BRONX, NY 10451-5516
(347) 672-2764
Mailing address
1660 YATES AVE, BRONX, NY 10461-2002
(347) 672-2764
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
646690
NY
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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