Dr Glen Thomas Leake, DC is a
Chiropractor based in Stanfordville, New York. Dr Glen Thomas Leake is licensed to practice in New York (license number X010969-1) and his current practice location is
192 Hunns Lake Rd, Stanfordville, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 868-1518.
NPI number for Dr Glen Thomas Leake is 1376751032 and his current mailing address is 192 Hunns Lake Rd, Stanfordville, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376751032.
Healthcare Provider's Profile
| Full Name | Dr Glen Thomas Leake |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 192 Hunns Lake Rd, Stanfordville, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376751032
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Glen Thomas Leake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376751032 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | X010969-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glen Thomas Leake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Glen Thomas Leake, DC
192 Hunns Lake Rd,
Stanfordville, NY 12581-5510
Ph: (845) 868-1518 | Dr Glen Thomas Leake, DC
192 Hunns Lake Rd,
Stanfordville, NY 12581-5510
Ph: (845) 868-1518 |
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