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Individual

DR. CHRISTOPHER LEGGETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, NP

Contact information

Practice address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 466-6020
(718) 466-6060
Mailing address
8320 98TH ST APT 3D, WOODHAVEN, NY 11421-1629
(212) 591-0270

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
012391
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400683
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02279596
NY
Enumeration date
11/14/2006
Last updated
02/26/2013
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