Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 244487 | NY |
Y | 2080P0205X | Pediatric Endocrinologist | 244487 | NY |
NPI | 1205058187 |
---|---|
Provider Name | Oksana Lekarev |
First Address | New York, NY 10021-4872 |
Second Address | New York, NY 10021-4872 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 23/01/2013 |