Organization
BIG LEAP MEDICAL PRACTICE OF NEW YORK P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMEET VADERA MD (OWNER)
(332) 330-4076
Entity
Organization
Contact information
Practice address
169 MADISON AVE STE 2828, NEW YORK, NY 10016-5101
(332) 330-4076
Mailing address
169 MADISON AVE STE 2828, NEW YORK, NY 10016-5101
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/03/2024
Last updated
12/27/2024
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