- Practice location
- 3096 51ST St, Woodside, NY 11377-1457
- Phone
- 718-204-1469
- Fax
- 718-545-1726
- Last updated
- June 24, 2016
Gloria Dunnder Leacock is a Family Medicine based in Woodside, NY. Gloria Dunnder Leacock practices in Woodside, NY and has the professional credentials of MD. The NPI Number for Gloria Dunnder Leacock is 1619040607 and holds a License No. 204175 (NY). The current practice location address for Gloria Dunnder Leacock is 3096 51ST St, Woodside, NY 11377-1457 and can be reached out via phone at 718-204-1469 and via fax at 718-545-1726.
Provider Profile Details
- NPI Number
- 1619040607
- Provider Name
- Gloria Dunnder Leacock
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3096 51ST St, Woodside, NY 11377-1457
- Phone Number
- 718-204-1469
- Fax Number
- 718-545-1726
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 16, 2006
- Last Update Date
- June 24, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3096 51ST St
Woodside, NY 11377-1457 - City
- Woodside
- State
- New York
- Zip
- 11377-1457
- Phone Number
- 718-204-1469
- Fax Number
- 718-545-1726
Provider Business Mailing Address Details
- Address
- 440 E 20TH St
Apt 9B
New York, NY 10009-8213 - City
- New York
- State
- NY
- Zip
- 10009-8213
- Phone Number
- 212-545-2400
- Fax Number
- 646-312-0481
License Information
- License Number
- 204175
- License State
- NY
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Gloria Dunnder Leacock, MD?
The NPI number of Gloria Dunnder Leacock, MD is 1619040607. It was assigned on November 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Gloria Dunnder Leacock, MD?
Gloria Dunnder Leacock, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 204175.
Where does Gloria Dunnder Leacock, MD practice?
The practice location is 3096 51ST St, Woodside, NY 11377-1457. The office can be reached at 718-204-1469 (phone) or 718-545-1726 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619040607 directly on the NPPES registry website.