Individual
LEONID PORETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
317 E 17TH ST, FIERMAN HALL 7TH FL, NEW YORK, NY 10003-3804
(212) 420-2226
Mailing address
PO BOX 95000-2433, PHILADELPHIA, PA 19195-2433
(212) 420-2226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
155121
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
155121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00899252
—
NY
Enumeration date
10/13/2005
Last updated
02/27/2013
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