Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 228120 | NY |
Y | 207VX0201X | Gynecologic Oncologist | 228120 | NY |
NPI | 1497967079 |
---|---|
Provider Name | Dr. Leslie R Boyd |
First Address | Brooklyn, NY 11206 |
Second Address | Brooklyn, NY 11206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 31/10/2018 |