Coven, Richard Leslie

Coven, Richard Leslie is an sole proprietor health care provider with primary practice located at 56 Grand Central Ave , Amityville NY 11701-3749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Coven, Richard Leslie can be contacted via phone (631) 264-2788.

Contact Information

Primary practice address
56 Grand Central Ave Amityville NY 11701-3749
Phone: (631) 264-2788
Fax: (631) 264-2787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 136115 New York

Profile Details

NPI number 1750383261
LBN Legal business name Coven, Richard Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Oct 20th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750383261 NPPES
Other 16A911 EMPIRE MEDICARE
MEDICAID 00705459 EMPIRE MEDICARE

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