Individual
LEON S HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 CROSFIELD AVE, SUITE 318, WEST NYACK, NY 10994-2226
(845) 353-5600
(845) 353-5668
Mailing address
20 GRAND STREET, 3RD FLOOR, WARWICK, NY 10990-1035
(845) 353-5600
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
135143
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00913240
—
NY
01
—
0672649005
CIGNA HMO, POS
—
01
—
0D0735
HEALTHNET OF NORTHEAST
—
01
—
123213
AETNA/USHC
—
01
—
132995699
CIGNA PPO
—
01
—
2900090
GHI
—
01
—
4458461
AETNA
—
01
—
58A091
BC/BS EMPIRE
—
01
—
OX1379
HIP
—
Enumeration date
09/07/2005
Last updated
01/02/2019
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