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Individual

DR. ANDREA JILL LEEDS

Active
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Individual

DR. ANDREA JILL LEEDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
189517
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0732277
CIGNA
NY
01
0P366P
HIP
NY
01
1062927
UNITED HEALTHCARE
NY
01
113174437
HORIZON
NY
01
36573
VYTRA
NY
01
40H601
EMPIRE BLUE CROSS BLUE SH
NY
01
4350228
AETNA PPO
NY
01
450335
AETNA HMO
NY
01
AP329
OXFORD
NY
01
OC2421
HEALTHNET
NY
Enumeration date
06/12/2006
Last updated
10/21/2011
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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