Individual
SCOTT LEUCHTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-6103
Mailing address
4422 3RD AVE, BRONX, NY 10457-2545
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
269450
NY
Other
Enumeration date
10/25/2011
Last updated
07/01/2013
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