Dr. Leslie Anne Bottrell, MBBS
Family Medicine, Sports Medicine in New York, NY. Individual provider (NPI-1).
NPI number1184129751
StatusActive
Last updated in NPPESOct 25, 2022
Details
- NPI
- 1184129751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leslie Anne Bottrell
- Credential
- MBBS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2018
- Certification date
- Oct 25, 2022
- Last updated
- Oct 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | 313997 | NY | Yes |
| 207Q00000X | Family Medicine | 313997 | NY |
Practice location
911 Park AveNew York, NY 10075-0385
Phone 212-288-7193
Mailing address
130 E 77th St Fl 7New York, NY 10075-1851
Phone 212-434-3959
Other practice locations
130 E 77th St Fl 7
New York, NY 10075-1851
New York, NY 10075-1851
Phone 212-434-3959
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