Individual
MARSHALL LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 NICOLLS RD, HSC, L4 RM 50, STONY BROOK, NY 11794-0001
(631) 444-2478
Mailing address
DEPARTMENT OF EMERGENCY MEDICINE, 100 NICOLLS RD. HSC, L-4, RM 050, STONY BROOK, NY 11794
(631) 444-2478
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
298264
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2016
Last updated
07/29/2020
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