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Individual

DR. DOMENICO LEUCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
365 HARRY L DR STE 110, JOHNSON CITY, NY 13790-1471
(607) 729-5805
(607) 729-7714
Mailing address
365 HARRY L DR, STE 110, JOHNSON CITY, NY 13790-1471
(607) 754-9870
(607) 785-9862

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
232736
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02630697
NY
01
10087636
CDPHP
NY
01
4127900
MVP
NY
Enumeration date
03/29/2006
Last updated
04/09/2024
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