Active NPI
Dunn-Lea Medical PC
- Family Medicine Physician
- Woodside, NY
National Provider Identifier
1750622239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 204175
- Legal business name
- DUNN-LEA MEDICAL PC
- Practice address
- 3096 51St St
Woodside, NY 11377-1457 - Phone
- (718) 204-1469
- Fax
- (718) 545-1726
- NPI assigned
- Mar 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gloria J Dunnder Leacock
- Title
- Physician
- Phone
- (718) 204-1469
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 204175 | NY | Primary |
Addresses
Primary practice location
3096 51St St
Woodside, NY 11377-1457
Mailing address
440 E 20TH St
9B
New York, NY 10009-8208
Phone (718) 204-1469
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363046400000",
"number": "1750622239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 E 20TH ST",
"address_2": "9B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100098208",
"telephone_number": "718-204-1469",
"fax_number": "718-545-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3096 51ST ST",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113771457",
"telephone_number": "718-204-1469",
"fax_number": "718-545-1726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUNN-LEA MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-08",
"last_updated": "2013-03-12",
"status": "A",
"authorized_official_last_name": "DUNNDER LEACOCK",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "718-204-1469",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "204175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.