Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N005337 | NY |
Y | 222Z00000X | Podiatrist | N005337 | NY |
N | 213ES0131X | Foot Surgery | N005337 | NY |
NPI | 1205818820 |
---|---|
Provider Name | Dr. Louis Michael Leyden |
First Address | Bay Shore, NY 11706 |
Second Address | Bay Shore, NY 11706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2005 |
Last Update Date | 06/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02049732 | (05) | NY |
U74042 | (02) | NY |