Provider Demographics
NPI:1013745496
Name:PARIKH, LEESA JAYESH (FNP-C)
Entity type:Individual
Prefix:
First Name:LEESA
Middle Name:JAYESH
Last Name:PARIKH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E 93RD ST APT 34C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-6110
Mailing Address - Country:US
Mailing Address - Phone:408-805-0021
Mailing Address - Fax:
Practice Address - Street 1:1155 PARK AVE STE E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1209
Practice Address - Country:US
Practice Address - Phone:212-360-6500
Practice Address - Fax:212-360-6535
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95030765363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily