Leach, Richard

Leach, Richard is an individual health care provider with primary practice located at 28 Sherman Ave , Glens Falls NY 12801-2839. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Leach, Richard can be contacted via phone (518) 793-6619.

Contact Information

Primary practice address
28 Sherman Ave Glens Falls NY 12801-2839
Fax: (518) 798-3415
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 113207 New York
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 113207 New York

Profile Details

NPI number 1518951961
LBN Legal business name Leach, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Nov 1st, 2007 - about 17 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 1518951961 NPPES
New York MEDICAID 00434400

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