Organization
DUNN-LEA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA J DUNNDER LEACOCK (PHYSICIAN)
(718) 204-1469
Entity
Organization
Contact information
Practice address
3096 51ST ST, WOODSIDE, NY 11377-1457
(718) 204-1469
(718) 545-1726
Mailing address
440 E 20TH ST, 9B, NEW YORK, NY 10009-8208
(718) 204-1469
(718) 545-1726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
204175
NY
Other
Enumeration date
03/08/2013
Last updated
03/12/2013
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