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Individual

LESLIE B TYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
160 E 53RD ST, 9TH FLOOR, NEW YORK, NY 10022-5243
(212) 639-7590
Mailing address
160 E 53RD ST, 9TH FLOOR, NEW YORK, NY 10022-5243
(212) 639-7590

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301851
NY

Other

Enumeration date
05/29/2008
Last updated
05/29/2008
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