Basic Information
| Provider Information | |||||||||
| NPI: | 1205597226 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEKSHAY | ||||||||
| FirstName: | TENZIN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3931 56TH ST APT 3 | ||||||||
| Address2: | |||||||||
| City: | WOODSIDE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113772492 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 7901 BROADWAY | ||||||||
| Address2: | ELMHURST HOSPITAL CENTER, EMERGENCY DEPARTMENT | ||||||||
| City: | ELMHURST | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11373 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7183343054 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/02/2022 | ||||||||
| LastUpdateDate: | 01/02/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | F310525 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.