Individual
DR. LESLIE DOYLE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
32 CENTRAL AVE, HAUPPAUGE, NY 11788
(631) 582-9729
(631) 582-9731
Mailing address
PO BOX 416173, BOSTON, MA 02241-6173
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
D0062109
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03276419
—
NY
Enumeration date
10/06/2006
Last updated
05/15/2020
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