Leacock, Kenneth Aiden
Leacock, Kenneth Aiden is an sole proprietor health care provider with primary practice located at 233 W 139Th St , New York NY 10030-2104. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Leacock, Kenneth Aiden can be contacted via phone (212) 283-6095.Contact Information
Primary practice address
233 W 139Th St
New York NY 10030-2104
Phone: (212) 283-6095
Fax: (212) 283-6095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 007365 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 007365 | New York |
Profile Details
| NPI number | 1730166398 |
|---|---|
| LBN Legal business name | Leacock, Kenneth Aiden |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730166398 | NPPES |
| New York | Other | 007365 | P.T. LICENCE |
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