Individual
LESLEY ANNE MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
210 E 64TH ST, NEW YORK, NY 10065
(212) 434-3365
Mailing address
210 E 64TH ST, NEW YORK, NY 10065-7471
(212) 434-3365
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
277320
NY
Other
Enumeration date
03/20/2012
Last updated
06/22/2018
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