Individual
DR. JAY S. LEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 W 168TH ST, MC 28, NEW YORK, NY 10032-3725
(212) 305-1948
Mailing address
630 W 168TH ST, MC 28, NEW YORK, NY 10032-3725
(212) 305-1948
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
277521
NY
2085R0202X
Diagnostic Radiology Physician
D78518
MD
Other
Enumeration date
06/30/2010
Last updated
07/27/2016
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