Individual
LESLEY BERNICE FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9878
(212) 305-8980
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9878
(212) 305-8980
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
551173
NY
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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