Individual
DR. TANYA LEYKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
471 UNDERCLIFF AVE, EDGEWATER, NJ 07020-1282
(201) 969-9350
(201) 969-9764
Mailing address
471 UNDERCLIFF AVE, EDGEWATER, NJ 07020-1282
(201) 969-9350
(201) 969-9764
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MA07859900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132721
—
NJ
Enumeration date
11/01/2006
Last updated
10/01/2012
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