Individual provider · Type 1 NPI

Leslie Mack

General Practice Registered Nurse · Bronx, NY

NPI number 1740747633 Active

Practice location

400 E Fordham Rd
Bronx, NY 10458-5039

Fax (914) 517-8273

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X367232 (NY)

General Practice Registered Nurse: Definition to come...

12 other providers at this address

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About NPI 1740747633

Leslie Mack's National Provider Identifier is 1740747633, issued on Feb 27, 2019. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Bronx, NY. The record was last updated on Feb 27, 2019.