Individual
ABRAHAM D LEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
187 ENCLAVE BLVD, LAKEWOOD, NJ 08701-5787
(347) 201-2747
Mailing address
7 DOOLIN RD, NEW CITY, NY 10956-1345
(347) 201-2747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
348446
NY
Other
Enumeration date
09/14/2021
Last updated
02/21/2024
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