Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 267257 | NY |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | A135316 | CA |
N | 2081P2900X | Pain Medicine | 267257 | NY |
NPI | 1063703429 |
---|---|
Provider Name | Eric Leung |
First Address | Manhasset, NY 11355-5045 |
Second Address | Manhasset, NY 11030-3006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2011 |
Last Update Date | 02/09/2016 |