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Export Provider Record NPI 1073008132
Leonidas Vlantis
Active
NPI Number1073008132
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1073008132
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2018-06-29
Last Updated2018-08-07
Mailing Address50 Country Club Dr
Manhasset, NY 11030-3208
United States
Phone: (516) 365-2560
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Primary Practice Address17003 Northern Blvd
Flushing, NY 11358
United States
Phone: (718) 358-0554
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No390200000X – Student in an Organized Health Care Education/Training Program--
Yes207Q00000X – Family MedicineNY295144
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About NPI 1073008132

Leonidas Vlantis is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073008132. The primary specialty listed is Family Medicine. The provider is located in Flushing, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-06-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073008132?

NPI 1073008132 belongs to Leonidas Vlantis, a Family Medicine in Flushing, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073008132 active?

The current status of NPI 1073008132 in the NPPES registry is Active. The record was last updated on 2018-08-07.

What specialty is NPI 1073008132?

NPI 1073008132 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073008132?

You can verify NPI 1073008132 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073008132?

The primary practice address on file for NPI 1073008132 is 17003 Northern Blvd, Flushing, NY 11358. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073008132 issued?

NPI 1073008132 was first issued (enumerated) on 2018-06-29. The NPPES record was last updated on 2018-08-07.

Practice Location Map

Leonidas Vlantis is located at 17003 Northern Blvd, Flushing, NY. Use the map below to find directions or verify the practice location.

📍 17003 Northern Blvd, Flushing, NY 11358  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Leonidas Vlantis. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1073008132. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicine295144NY
Data Verified from CMS NPPES Last synced: 2026-08-03 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162