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General NPI Number Information
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NPI Number | 1649184722
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Entity Type | Organization
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Legal Business Name | ELENA IVANINA DO AND LESLEY MICHAEL DO PLLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 315 W 57TH ST STE 407
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City | NEW YORK
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State | NY
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Zip | 10019-3147
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Country | US
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Telephone | 917-341-5326
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Fax |
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Provider Business Mailing Address
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Address Line | 315 W 57TH ST STE 407
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City | NEW YORK
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State | NY
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Zip | 10019-3147
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Country | US
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Telephone |
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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 MICHAEL
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Credential | DO
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Telephone | 929-249-2359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State | NULL
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