Leitao, Mario Mendes

Leitao, Mario Mendes is an individual health care provider with primary practice located at 1275 York Ave # H1314 , New York NY 10065-6007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Leitao, Mario Mendes can be contacted via phone (212) 639-3987.

Contact Information

Primary practice address
1275 York Ave # H1314 New York NY 10065-6007
Phone: (212) 639-3987
Fax: (212) 717-3709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 25MA07727200 New Jersey
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 208249 New York

Profile Details

NPI number 1225068372
LBN Legal business name Leitao, Mario Mendes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated May 29th, 2024 - about 6 months 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 1225068372 NPPES
New Jersey MEDICAID 0043800

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