Individual
LESLIE C GULICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
66 BOERUM PLACE, HEART SHARE ST.VINCENT'S SERVICES MEDICAL DEPARTMENT, BROOKLYN, NY 11201
(718) 522-3700
(718) 422-2424
Mailing address
66 BOERUM PLACE, HEART SHARE ST.VINCENT'S SERVICES MEDICAL DEPARTMENT, BROOKLYN, NY 11201
(718) 522-3700
(718) 422-2496
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
181042
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01937966
—
NY
01
—
181042
STATE LICENSE
NY
Enumeration date
03/13/2007
Last updated
06/30/2014
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