Individual
GERALD LEICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 W 52ND ST, 7TH FLOOR, NEW YORK, NY 10019-6239
(212) 778-5555
(646) 778-5548
Mailing address
101 BRIARWOOD LN, PLAINVIEW, NY 11803-6403
(516) 622-1842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
135586
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00636044
—
NY
01
—
1355866
WORKER COMP
NY
01
—
18A171
BCBS
NY
01
—
20642867
BEECHSTREET
NY
01
—
2894721-135238
AETNA
NY
01
—
2C3426
HEALTHNET
NY
01
—
43162P
HIP
NY
01
—
57185592
MULTIPLAN
NY
01
—
5997182
GHI
NY
01
—
907781-18
UHC
NY
01
—
LG5586
ATLANTIS
NY
01
—
NP767
OXFORD
NY
Enumeration date
09/20/2006
Last updated
07/08/2007
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