Anderson, Leonard

Anderson, Leonard is an individual health care provider with primary practice located at 30 Harrison St Suite 455, Johnson City NY 13790-2161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Anderson, Leonard can be contacted via phone (607) 763-8100.

Contact Information

Primary practice address
30 Harrison St Suite 455 Johnson City NY 13790-2161
Phone: (607) 763-8100
Fax: (607) 763-8048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 192394 New York

Profile Details

NPI number 1760482863
LBN Legal business name Anderson, Leonard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 18th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760482863 NPPES
New York MEDICAID 01415796

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