Leary, John

Leary, John is an individual health care provider with primary practice located at 2 Broad Street Plz , Glens Falls NY 12801-4363. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Leary, John can be contacted via phone (518) 793-0519.

Contact Information

Primary practice address
2 Broad Street Plz Glens Falls NY 12801-4363
Phone: (518) 793-0519
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 112058 New York
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 112058 New York

Profile Details

NPI number 1427080100
LBN Legal business name Leary, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jan 31st, 2008 - 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 1427080100 NPPES
New York MEDICAID 01020319

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