Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leisa T Johnson

Individual provider Specialist · NPI 1386106573

Leisa T Johnson is a Specialist in Forest Hills, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

10818 Queens Blvd Fl 5
Forest Hills, NY 11375-4748
Phone: (212) 804-7659
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1219043 (NY)

Record details

NPI number1386106573
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 5, 2019
Last updated in NPPESApril 5, 2019

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