Individual
LESLIAN THOMAS-CHETRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2054
(917) 753-2472
Mailing address
451 CLARKSON AVE, BROOKLYN, NY 11203-2054
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421437
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861085003
—
NY
Enumeration date
02/18/2021
Last updated
04/19/2022
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