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Organization
VR LEDDY, M.D., P.C.
Active
Organization
VR LEDDY, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT RICHARD LEDDY M.D. (PRESIDENT)
(631) 273-7105
Entity
Organization
Contact information
Practice address
160 FOURTH STREET, BRENTWOOD, NY 11717
(631) 273-7105
(631) 273-7253
Mailing address
160 FOURTH STREET, BRENTWOOD, NY 11717
(631) 273-7105
(631) 273-7253
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
152061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538201231
NPI
NY
Enumeration date
05/19/2009
Last updated
09/24/2010
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