Leslye Chantal Allen
Individual provider Active NPI Specialist · Fresh Meadows, NY
NPI 1376903427 · NPPES record last updated Mar 2, 2016
Key facts
- NPI
- 1376903427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 1751238 (NY)
- Practice address
- 67-25 188TH Street
Little Meadows
Fresh Meadows, NY 11365 - Phone
- (718) 454-6460
- Fax
- (718) 454-0661
- NPI assigned
- Mar 2, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1751238 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen Rothschild OT, LLC | Past | Accepting new patients | |
| Little Meadows Early Childhood Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1751238 | NY | Yes |
Addresses
Primary practice location
67-25 188TH Street
Little Meadows
Fresh Meadows, NY 11365
Mailing address
67-25 188TH Street
Little Meadows
Fresh Meadows, NY 11365
Phone (718) 454-6460
Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.