Individual
J LEONARD DIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
172283
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01694944
—
NY
01
—
65F4221351
MEDICARE
NY
Enumeration date
02/23/2006
Last updated
10/29/2012
Update your record
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