Provider Demographics
NPI:1982045845
Name:DE LEACY, READE ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:READE
Middle Name:ANDREW
Last Name:DE LEACY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:229 W 60TH ST
Mailing Address - Street 2:APARTMENT 16M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7497
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1450 MADISON AVENUE, BOX 1136
Practice Address - Street 2:KLINGENSTEIN CLINICAL CENTER, 1-NORTH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-241-3400
Practice Address - Fax:646-537-2299
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2023-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY271229207T00000X
NYP877142085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology