GLORIA DUNNDER LEACOCK MD
NPI 1619040607
Family Medicine in Woodside, NY

Active since November 16, 2006
3096 51ST ST, WOODSIDE, NY 11377(718) 204-1469(718) 545-1726 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gloria Dunnder Leacock Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLORIA DUNNDER LEACOCK MD (NPI 1619040607) is an individual family medicine provider in Woodside, New York, licensed in New York (204175) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1619040607
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGLORIA DUNNDER LEACOCKCredential: MD
Location Address3096 51ST STWoodside, NY 11377-1457
Mailing Address440 E 20th St, Apt 9bNew York, NY 10009-8213 · (212) 545-2400 · Fax (646) 312-0481
Fax(718) 545-1726
Sole ProprietorYes
Enumeration DateNovember 16, 2006
Last NPPES UpdateJune 24, 2016
NPI 1619040607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 204175
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3096 51ST ST, Woodside, NY 11377

Other Identifiers 5

Medicare OSCAR/certificationG100000410NY
Medicare UPING55705
Medicare OSCAR/certification331009NY
Medicare PIN331978NY
Medicaid00695941NY

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3096 51ST ST
WOODSIDE, NY 11377
Nurse Practitioner (Women's Health)
3096 51ST ST
WOODSIDE, NY 11377
Family Medicine
3096 51ST ST
WOODSIDE, NY 11377
Physician Assistant
3096 51ST ST
WOODSIDE, NY 11377
Internal Medicine
3096 51ST ST
WOODSIDE, NY 11377

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gloria Dunnder Leacock's NPI number?

The NPI number for Gloria Dunnder Leacock is 1619040607. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Gloria Dunnder Leacock located?

Gloria Dunnder Leacock practices at 3096 51st St, Woodside, NY 11377. The listed phone number is (718) 204-1469.

What is Gloria Dunnder Leacock's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gloria Dunnder Leacock was last updated on June 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.