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Individual

ANDREW LEIFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-6745
Mailing address
407 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5288

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
153110
NY
207R00000X
Internal Medicine Physician
153110
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00894124
NY
Enumeration date
11/17/2006
Last updated
03/05/2012
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