Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 240361 | NY |
NPI | 1003021544 |
---|---|
Provider Name | Dr. Leigh Jacquelyn Trani |
First Address | New Hyde Park, NY 11040-1108 |
Second Address | Rutherford, NJ 07070-1563 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |