# DUNN-LEA MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750622239
- **Authorized official:** MRS. GLORIA J DUNNDER LEACOCK (PHYSICIAN)
- **Authorized official phone:** (718) 204-1469

## Contact information

- **Practice address:** 3096 51ST ST, WOODSIDE, NY 11377-1457
- **Practice address phone:** (718) 204-1469
- **Practice address fax:** (718) 545-1726
- **Mailing address:** 440 E 20TH ST, 9B, NEW YORK, NY 10009-8208
- **Mailing address phone:** (718) 204-1469
- **Mailing address fax:** (718) 545-1726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 204175 | NY | Yes |

## Other

- **Enumeration date:** 03/08/2013
- **Last updated:** 03/12/2013