Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 25MA04539100 | NJ |
NPI | 1053399303 |
---|---|
Provider Name | Dr. Donald Leichter |
First Address | New York, NY 10032-1559 |
Second Address | Summit, NJ 07901-2571 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 22/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01273541 | (05) | NY |
E33572 | (02) | NY |