Provider Demographics
NPI:1023335098
Name:WADE, LEIGH A
Entity type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:A
Last Name:WADE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 SPRING STREET 201W
Mailing Address - Street 2:SPRING OB/GYN, PC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012
Mailing Address - Country:US
Mailing Address - Phone:212-219-1187
Mailing Address - Fax:212-219-1528
Practice Address - Street 1:135 SPRING STREET 201W
Practice Address - Street 2:SPRING OB/GYN, PC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012
Practice Address - Country:US
Practice Address - Phone:212-219-1187
Practice Address - Fax:212-219-1528
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY272807207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology