Individual provider · Type 1 NPI
Lesleen A. Jack
Specialist · Brooklyn, NY
NPI number
1043077555
Active
Practice location
1027 Montgomery St Apt 1F
Brooklyn, NY 11213-5937
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 176132231 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1043077555
Lesleen A. Jack's National Provider Identifier is 1043077555, issued on Mar 1, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on Mar 1, 2024.