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Individual
DR. MARC A LEAF
Active
Individual
DR. MARC A LEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
151457
NY
207RG0100X
Gastroenterology Physician
151457
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01585666
—
NY
01
—
059AD1
EMPIRE BCBS
NY
Enumeration date
09/01/2006
Last updated
03/14/2011
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