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Individual

DR. LEONARD MAFFUCCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD FACS

Contact information

Practice address
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2901
(914) 682-6557
(914) 681-5245
Mailing address
2700 WESTCHESTER AVE, 2ND, PURCHASE, NY 10577-2547
(914) 681-3146
(914) 457-1198

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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