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Individual

MS. LESLIE FOLKS BRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
17 E 102ND ST FL 3, NEW YORK, NY 10029-5204
(212) 241-7968
(212) 824-2312
Mailing address
17 E 102ND ST FL 3, NEW YORK, NY 10029-5204
(212) 241-7968
(212) 824-2312

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305800
NY
364SA2200X
Adult Health Clinical Nurse Specialist
209.010018
IL
364SA2200X
Adult Health Clinical Nurse Specialist
F305800-1
NY

Other

Enumeration date
12/31/2012
Last updated
09/11/2019
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