Individual
JAMES SAMUEL LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1095 COMMONS AVE, CORTLAND, NY 13045-1669
(607) 756-5422
(607) 756-5488
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
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
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