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Individual
MARY P LEAHY
Active
Individual
MARY P LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1671161
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057864
GHI HMO
—
05
—
01852895
—
NY
01
—
040426012111
FIDELIS (MEDICAID HMO)
—
01
—
0D2175
HEALTHNET OF NORTHEAST
—
01
—
132995699
HEALTH NOW
—
01
—
20533
AETNA/USHC
—
01
—
23E881
BC/BS EMPIRE
—
01
—
2594362
GHI
—
01
—
4096837
AETNA
—
01
—
45022P
HIP
—
01
—
8175389003
CIGNA HMO, POS
—
Enumeration date
09/07/2005
Last updated
03/15/2011
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