Individual
HEATHER LEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
155 MINEOLA BLVD, MINEOLA, NY 11501-3920
(516) 741-3338
Mailing address
155 MINEOLA BLVD, MINEOLA, NY 11501-3920
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
006875
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
006875
NY
213ES0131X
Foot Surgery Podiatrist
006875
NY
Other
Enumeration date
06/25/2014
Last updated
07/28/2017
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