Individual
DR. LEONARD ALAN RICKMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
11622 METROPOLITAN AVE, KEW GARDENS, NY 11418-1017
(718) 441-5400
(718) 441-7765
Mailing address
11622 METROPOLITAN AVE, KEW GARDENS, NY 11418-1017
(718) 441-5400
(718) 441-7765
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N002549
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00415729
—
NY
Enumeration date
03/23/2006
Last updated
07/08/2007
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