Anderson, Leonard
Anderson, Leonard is an individual health care provider with primary practice located at 30 Harrison St Suite 455, Johnson City NY 13790-2161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Anderson, Leonard can be contacted via phone (607) 763-8100.Contact Information
Primary practice address
30 Harrison St Suite 455
Johnson City NY 13790-2161
Phone: (607) 763-8100
Fax: (607) 763-8048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 192394 | New York |
Profile Details
| NPI number | 1760482863 |
|---|---|
| LBN Legal business name | Anderson, Leonard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Nov 18th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760482863 | NPPES |
| New York | MEDICAID | 01415796 |
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