Individual
LESLIE KENDRA LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10 UNION SQ E, NEW YORK, NY 10003-3314
(212) 844-6400
Mailing address
14 TICE RD, HEWITT, NJ 07421-3185
(973) 690-6766
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
021121
NY
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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