Provider Demographics
NPI:1942687751
Name:DING, LE (MD)
Entity Type:Individual
Prefix:
First Name:LE
Middle Name:
Last Name:DING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 GRENFELL DR
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1428
Mailing Address - Country:US
Mailing Address - Phone:718-909-0924
Mailing Address - Fax:
Practice Address - Street 1:849 57TH ST STE 2F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3798
Practice Address - Country:US
Practice Address - Phone:917-297-9000
Practice Address - Fax:347-696-7946
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-30
Last Update Date:2021-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY280709208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics