Mack, Leslie

Mack, Leslie is an individual health care provider with primary practice located at 400 E Fordham Rd , Bronx NY 10458-5039. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Mack, Leslie can be contacted via phone (718) 220-4176.

Contact Information

Primary practice address
400 E Fordham Rd Bronx NY 10458-5039
Phone: (718) 220-4176
Fax: (914) 517-8273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 367232 New York

Profile Details

NPI number 1740747633
LBN Legal business name Mack, Leslie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2019
Last updated Feb 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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