Individual
DR. MARK ERIC LEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
928 BROADWAY STE 304, NEW YORK, NY 10010-8154
(212) 686-2244
Mailing address
1180 E BROADWAY APT 1, HEWLETT, NY 11557-2435
(516) 295-1839
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6079
NY
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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