Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 199038 | NY |
NPI | 1134297062 |
---|---|
Provider Name | Dr. Anthony Michael Leone |
First Address | Williamsville, NY 14221-5270 |
Second Address | Williamsville, NY 14221-5242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 24/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010340301 | UNIVERA (01) | NY |
0005401597 | AETNA (01) | NY |
01657212 | (05) | NY |
0909726 | INDEPENDENT HEALTH ASSOC. (01) | NY |
199038-1 | WORKERS COMPENSATION (01) | NY |
6012034 | GHI (01) | NY |
E45182 | (02) | NY |