Leslie C Gulick, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

181042 Issued in NY

Practice address

66 Boerum Place
Heart Share St.Vincent's Services Medical Department
Brooklyn, NY 11201

Phone

(718) 522-3700

Fax

(718) 422-2424

NPI assigned

Mar 13, 2007

Last updated

Jun 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saint Vincents Catholic Medical Centers of New York

  • Primary Care Clinic/Center
  • Garden City, NY
  • NPI 1790010817
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1710010756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BOERUM PLACE",
            "address_2": "HEART SHARE ST.VINCENT'S SERVICES MEDICAL DEPARTMENT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-522-3700",
            "fax_number": "718-422-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BOERUM PLACE",
            "address_2": "HEART SHARE ST.VINCENT'S SERVICES MEDICAL DEPARTMENT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-522-3700",
            "fax_number": "718-422-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULICK",
        "first_name": "LESLIE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "181042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01937966",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "181042",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divya Gulati
• Leigh Welsh Gulati, PT, DPT, OCS
• Rahul Gulati, D.D.S.
• Shikha M Gulati
• Nazey Gulec, M.D.
• Betty Jane Gulko, MS, SPED
• Leah Gulkowitz, OTR/L
• Dolores Olaco Gulle
• Melieluck Gulle, OTR/L
• Gulmar Dental PC

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.