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Individual

JAMES SAMUEL LEONARD

Active
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Individual

JAMES SAMUEL LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N004037-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005567056
AETNA PIN
NY
05
00989262
NY
01
040426013555
FIDELISCARE NY
NY
01
043587567
EXCELLUS BLUE SHIELD CNY
NY
01
043587567001
RMSCO INC
NY
01
11123258
CAQH
01
480033278
RAILROAD MEDICARE
01
UNIVERA HEALTHCARE C
00040115201
NY
Enumeration date
10/07/2005
Last updated
03/01/2021
Update your record

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