Individual
DR. LEONARDO DISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 PARK ST, MALONE, NY 12953-1220
(518) 481-6434
(516) 481-2366
Mailing address
133 PARK ST, MALONE, NY 12953-1220
(518) 481-6434
(516) 481-2366
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
160893
NY
207ZC0500X
Cytopathology Physician
160893
NY
207ZP0101X
Anatomic Pathology Physician
Primary
160893
NY
Other
Enumeration date
08/29/2006
Last updated
03/21/2023
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