Dr. Jessica Korasadowicz Lebental, FNP DNP
Nurse Practitioner, Family in New York, NY. Individual provider (NPI-1).
NPI number1013674928
StatusActive
Last updated in NPPESNov 27, 2021
Details
- NPI
- 1013674928
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jessica Korasadowicz Lebental
- Credential
- FNP DNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 27, 2021
- Certification date
- Nov 27, 2021
- Last updated
- Nov 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F347688 | NY | Yes |
Practice location
900 5th AveNew York, NY 10021-4157
Phone 212-392-1075
Mailing address
30 Park Pl Apt 55bNew York, NY 10007-2576
Phone 862-432-5864
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