Individual
MR. LEONID GORODETSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4246 WYNCOTE RD, SOUTH EUCLID, OH 44121-3116
(216) 381-3949
(216) 291-3238
Mailing address
4246 WYNCOTE RD, SOUTH EUCLID, OH 44121-3116
(216) 381-3949
(216) 291-3238
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
186455
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2500823
—
OH
Enumeration date
03/25/2007
Last updated
07/08/2007
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