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General NPI Number Information
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NPI Number | 1639052657
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Entity Type | Organization
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Legal Business Name | LESLEY CANO NP IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 152 E 118TH ST
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City | NEW YORK
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State | NY
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Zip | 10035-4087
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Country | US
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Telephone | 718-902-5627
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Fax |
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Provider Business Mailing Address
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Address Line | 3 E EVERGREEN RD # 464
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City | NEW CITY
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State | NY
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Zip | 10956-5145
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Country | US
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Telephone | 718-902-5627
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LESLEY CANO
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Credential | NP
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Telephone | 718-902-5627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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