Individual
MR. DAVID DANIEL LEAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
170 WILLIAM ST, ROOM 354, NEW YORK, NY 10038-2612
(646) 588-2602
(212) 312-5855
Mailing address
170 WILLIAM ST, ROOM 354, NEW YORK, NY 10038-2612
(646) 588-2602
(212) 312-5855
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
584049
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86150U
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
06/21/2006
Last updated
06/09/2015
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