Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 134566 | NY |
NPI | 1033106901 |
---|---|
Provider Name | Leonard K Pickard |
First Address | Kingston, NY 12401-5151 |
Second Address | Kingston, NY 12401-5151 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2005 |
Last Update Date | 08/07/2007 |