Lesley Fuentes
Nurse Practitioner, Pediatrics in Yonkers, NY. Individual provider (NPI-1).
NPI number1154894772
StatusActive
Last updated in NPPESJan 7, 2019
Details
- NPI
- 1154894772
- Entity type
- Individual (NPI-1)
- Name
- Lesley Fuentes
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 7, 2019
- Last updated
- Jan 7, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 382941 | NY | Yes |
Practice location
65 Elliott Ave Apt 3nYonkers, NY 10705-2110
Phone 914-471-6364
Mailing address
65 Elliott Ave Apt 3nYonkers, NY 10705-2110
Phone 914-471-6364
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 12 Pediatric Nurse Practitioner providers in Yonkers · All 4,609 providers in Yonkers
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