Izikson, Leonid

Izikson, Leonid is an individual health care provider with primary practice located at 745 State Route 17M , Monroe NY 10950-2660. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Izikson, Leonid can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
745 State Route 17M Monroe NY 10950-2660
Phone: (845) 703-6999
Fax: (845) 703-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 252131 New York
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 252131 New York

Profile Details

NPI number 1972624120
LBN Legal business name Izikson, Leonid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Sep 24th, 2020 - about 5 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 1972624120 NPPES
New York MEDICAID 03082579

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