Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN THOMAS LEAKE, D.C.
Active Sole ProprietorDR. GLEN THOMAS LEAKE, D.C. is a Chiropractor healthcare provider located in STANFORDVILLE, New York. NPI 1376751032 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · STANFORDVILLE, NY
Registration Details
- NPI Number
- 1376751032
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2007 (19.238392314068 yrs)
- Last Updated
- Jul 8, 2007
- License
-
X010969-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
192 HUNNS LAKE RDSTANFORDVILLE, NY, 125815510Browse NY providers · Browse ZIP 12581
- Phone
- 8458681518
- Fax
- 8458681518
- Primary Specialty
-
Chiropractor
111N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.