LESLIE, GLENN R.

Debarred entity

United States. Named in 5 sanctions listings.

Sanctions and listings5

Effective
3 Apr 2014
Ended
20 Nov 2015
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
SUSPENSION
nj.gov
Effective
3 Apr 2014; 20 Dec 2015
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
pa.gov
Effective
9 Jan 2016
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DISQUALIFICATION
nj.gov
Effective
25 May 2015
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
omig.ny.gov
Effective
20 Nov 2015
Official designation
New Jersey Office of the State ComptrollerUS New Jersey Ineligible Medicaid ProvidersUnited States
DEBARMENT
nj.gov

Identifiers2

Identifier	Number
ID number	00173072
NPI number	1285712950

Other names2

Also known as2

LESLIE GLENN RGlenn R Leslie

Addresses6

10 FRANKLIN TURNPIKE, MAHWAH, NJ 07430
FMC - LEXINGTON, PO BOX 14500, LEXINGTON, KY 40512
Out of State, Out of State
(NJ), (NJ)
245 WOODLAND AVENUE, RAMSEY, NJ 07446
NJ, NJ
United States

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