MEDICARE: MS. KAREN DIANE LESLIE NURSE PRACTITIONER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F357328-01	NY

General Provider Information

NPI Number	:	1942184460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN DIANE LESLIE NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	1 PENN PLZ
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10119-0002
Country	:	US
Telephone Number	:	646-479-0870
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 PENN PLZ
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10119-0002
Country	:	US
Telephone Number	:	646-479-0870
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2025
Last Update Date	:	02/19/2026

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