Healthcare Provider Details

I. General information

NPI: 1659203438
Provider Name (Legal Business Name): LE LE THEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6970 GRAND CENTRAL PKWY
FOREST HILLS NY
11375-3949
US

IV. Provider business mailing address

6970 GRAND CENTRAL PKWY
FOREST HILLS NY
11375-3949
US

V. Phone/Fax

Practice location:
  • Phone: 718-263-4600
  • Fax:
Mailing address:
  • Phone: 718-263-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number60-P141636-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: