Doctor Name: | DR. LESLIE DOYLE CUNNINGHAM |
NPI Number: | 1033206305 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., PH.D. |
License Number: | D0062109 |
Business Practice Address: | 120 Mineola Blvd Suite 300 Mineola, NY - 115014064 |
Business Phone Number: | 5166634400 |
Business Fax Number: | |
Mailing Address: | 120 Mineola Blvd, Suite 300 MINEOLA |
State: | NY |
Postal Code: | 115014064 |
Phone Number: | 5166634400 |
Fax Number: | |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 07/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | D0062109 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |