Individual
TERESA LEBRON-CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 W 59TH ST, NEW YORK, NY 10019-1047
(201) 315-1288
Mailing address
515 W 59TH ST, NEW YORK, NY 10019-1047
(201) 315-1288
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401749-1
NY
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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