Individual
DR. LEONARD MAFFUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACS
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
168873
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214837
—
NY
01
—
0808H
EMPIRE BCBS
NY
01
—
0D2741
HEALTHNET
—
01
—
WS861
OXFORD
—
Enumeration date
10/20/2005
Last updated
10/16/2013
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