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Individual

DR. DENISE R LESLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
141 S CENTRAL AVE, C/O HARTSDALE IMAGING, HARTSDALE, NY 10530-2319
(914) 761-4030
(914) 949-2931
Mailing address
141 S CENTRAL AVE, C/O HARTSDALE IMAGING, HARTSDALE, NY 10530-2319
(914) 761-4030
(914) 949-2931

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
150715
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01106812
NY
01
300077612
RAILROAD MEDICARE
NY
01
300092540
RAILROAD MEDICARE
NY
01
300104584
RAILROAD MEDICARE
NY
01
300104585
RAILROAD MEDICARE
NY
01
300104586
RAILROAD MEDICARE
NY
01
300104587
RAILROAD MEDICARE
NY
01
300107701
RAILROAD MEDICARE
NY
01
300107702
RAILROAD MEDICARE
NY
01
300107703
RAILROAD MEDICARE
NY
01
300107704
RAILROAD MEDICARE
NY
Enumeration date
03/14/2006
Last updated
06/19/2012
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