Bacchus, Leon S

Bacchus, Leon S is an sole proprietor health care provider with primary practice located at 300 Community Drive Department Of Radiology, Manhasset NY 11030. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bacchus, Leon S can be contacted via phone (516) 562-0100.

Contact Information

Primary practice address
300 Community Drive Department Of Radiology Manhasset NY 11030
Phone: (516) 562-0100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT188246 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 258760 New York
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 2015-00834 North Carolina

Profile Details

NPI number 1265643332
LBN Legal business name Bacchus, Leon S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Oct 7th, 2021 - about 3 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.

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