Healthcare Provider Details

I. General information

NPI: 1023368545
Provider Name (Legal Business Name): KAREN LEUNG DNP, ANP-BC, GNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2012
Last Update Date: 10/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 BROADWAY FL 2
NEW YORK NY
10007
US

IV. Provider business mailing address

281 BROADWAY FL 2
NEW YORK NY
10007-2056
US

V. Phone/Fax

Practice location:
  • Phone: 646-596-7386
  • Fax:
Mailing address:
  • Phone: 646-596-7386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number306167
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number340856
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: