Individual
JENNIFER MONIQUE MCLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
56-45 MAIN ST, QUEENS, NY 11355-5045
(347) 480-1200
Mailing address
56-45 MAIN STREET, QUEENS, NEW YORK, NY 11355
(347) 480-1200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
293298
NY
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
293298
NY
207RC0000X
Cardiovascular Disease Physician
293298
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JM3232267556
—
CA
Enumeration date
04/26/2015
Last updated
07/31/2023
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