# LEONID PORETSKY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962491811
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 155121 | NY | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 155121 | NY | Yes |

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 02/27/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00899252 | — | NY |
