Individual
KOREY LEAFBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
900 WASHINGTON RD, WEST POINT, NY 10996-1109
(845) 938-7992
Mailing address
900 WASHINGTON RD, WEST POINT, NY 10996-1109
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1529
NE
208D00000X
General Practice Physician
1529
NE
Other
Enumeration date
04/14/2015
Last updated
07/27/2022
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