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Individual
LEONARD ZIMMERMAN
Active
Individual
LEONARD ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1064351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009322
GHI
—
05
—
00186801
—
NY
01
—
02242088
MEDICAID
—
01
—
M101118
AETNA/USHC
—
01
—
M4473575
AETNA
—
01
—
W07721
MEDICARE
—
Enumeration date
09/07/2005
Last updated
03/15/2011
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