Individual
DR. YANNEK ISAAC LEIDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
224712
MA
207W00000X
Ophthalmology Physician
Primary
235488
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962590232
BLUE CROSS BLUE SHIELD
MA
05
—
30209380
—
NH
Enumeration date
12/20/2006
Last updated
08/30/2010
Update your record
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