Individual
JACOB LEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
650 CENTRAL AVE STE C, CEDARHURST, NY 11516-2301
(516) 295-3338
Mailing address
650 CENTRAL AVE STE C, CEDARHURST, NY 11516-2301
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006965
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
N006965
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N006965
NYS LICENSE
NY
Enumeration date
05/19/2016
Last updated
11/27/2019
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