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Individual

DR. LEONID E. TAFLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4010 AVENUE J, BROOKLYN, NY 11210-4440
(718) 338-1166
(718) 951-7550
Mailing address
4010 AVENUE J, BROOKLYN, NY 11210-4440
(718) 338-1166
(718) 951-7550

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
212382
NY
207Q00000X
Family Medicine Physician
Primary
212382
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01906270
NY
Enumeration date
03/01/2007
Last updated
09/17/2015
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