Individual
DR. ANDREA JILL LEEDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3178 LEE PL, BELLMORE, NY 11710-5038
(516) 826-7981
Mailing address
3178 LEE PL, BELLMORE, NY 11710-5038
(516) 826-7981
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
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