Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | N003415 | NY |
N | 213ES0131X | Foot Surgery | NOO3415 | NY |
NPI | 1487781589 |
---|---|
Provider Name | Dr. Jerome B Leff |
First Address | Bronx, NY 10463-4808 |
Second Address | Bronx, NY 10463-4808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 08/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T84735 | (02) | NY |