Provider Demographics
NPI:1942307459
Name:GLOWINSKY, LESLEY ZANKEL (MD)
Entity Type:Individual
Prefix:
First Name:LESLEY
Middle Name:ZANKEL
Last Name:GLOWINSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LESLEY
Other - Middle Name:SUSAN
Other - Last Name:ZANKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2225 SOUTH CLINTON AVENUE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2623
Mailing Address - Country:US
Mailing Address - Phone:585-256-2210
Mailing Address - Fax:585-256-2245
Practice Address - Street 1:2225 SOUTH CLINTON AVENUE
Practice Address - Street 2:SUITE 1A
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2623
Practice Address - Country:US
Practice Address - Phone:585-256-2210
Practice Address - Fax:585-256-2245
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY161943208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10109606OtherPREFERRED CARE