Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 306167 | NY |
N | 363LG0600X | Nurse Practitioner - Gerontology | 340856 | NY |
NPI | 1023368545 |
---|---|
Provider Name | Dr. Karen Leung |
First Address | New York, NY 10007-2056 |
Second Address | New York, NY 10007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2012 |
Last Update Date | 01/10/2018 |