Individual
LEONARD A. WALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 S BEDFORD RD, CAREMOUNT MEDICAL, PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1389
Mailing address
110 S BEDFORD RD, CAREMOUNT MEDICAL, PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1389
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
027406
CT
2085R0202X
Diagnostic Radiology Physician
Primary
151005
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001274067
—
CT
05
—
03073530
—
NY
Enumeration date
06/30/2005
Last updated
09/09/2016
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