Individual provider · Type 1 NPI
Glen Thomas Leake, DC
Chiropractor · Stanfordville, NY
NPI number
1376751032
Active
Practice location
192 Hunns Lake Rd
Stanfordville, NY 12581-5510
Fax (845) 868-1518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X010969-1 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
About NPI 1376751032
Glen Thomas Leake, DC's National Provider Identifier is 1376751032, issued on May 18, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Stanfordville, NY. The record was last updated on Jul 8, 2007.