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Individual

LESLY KERNISANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
345 SCHERMERHORN ST, DOWNTOWN CENTER, BROOKLYN, NY 11217
(718) 403-3599
(718) 403-3591
Mailing address
441 9TH AVE, CREDENTIALING 3RD FL, NEW YORK, NY 10001-1623
(646) 680-2890
(516) 542-5556

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1320061
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00273634
NY
Enumeration date
04/11/2006
Last updated
12/07/2015
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