Individual
DR. LEON S BACCHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DRIVE, DEPARTMENT OF RADIOLOGY, MANHASSET, NY 11030
(516) 562-0100
Mailing address
300 COMMUNITY DRIVE, DEPARTMENT OF RADIOLOGY, MANHASSET, NY 11030
(516) 562-0100
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
2015-00834
NC
2085R0202X
Diagnostic Radiology Physician
Primary
258760
NY
390200000X
Student in an Organized Health Care Education/Training Program
MT188246
PA
Other
Enumeration date
05/24/2007
Last updated
10/07/2021
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