Provider Demographics
NPI:1437921756
Name:YUEN, LESLIE HINSON (OTR/L)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:HINSON
Last Name:YUEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:ANN
Other - Last Name:HINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:4610 CENTER BLVD APT 2203
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11109-5883
Mailing Address - Country:US
Mailing Address - Phone:443-878-4874
Mailing Address - Fax:
Practice Address - Street 1:4610 CENTER BLVD APT 2203
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11109-5883
Practice Address - Country:US
Practice Address - Phone:443-878-4874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018672225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics