Individual
DR. LEILA CATHERINE THANASOULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 W 58TH ST, SUITE 8A, NEW YORK, NY 10019-2141
(917) 415-1040
Mailing address
120 W 58TH ST, 8A, NEW YORK, NY 10019-2141
(917) 415-1040
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
242952
NY
207RX0202X
Medical Oncology Physician
242952-1
NY
2083X0100X
Occupational Medicine Physician
242952-1
NY
208600000X
Surgery Physician
242952-1
NY
208D00000X
General Practice Physician
Primary
242952-1
NY
Other
Enumeration date
12/08/2008
Last updated
11/02/2025
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