Coven, Richard Leslie
Coven, Richard Leslie is an sole proprietor health care provider with primary practice located at 56 Grand Central Ave , Amityville NY 11701-3749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Coven, Richard Leslie can be contacted via phone (631) 264-2788.Contact Information
Primary practice address
56 Grand Central Ave
Amityville NY 11701-3749
Phone: (631) 264-2788
Fax: (631) 264-2787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 136115 | New York |
Profile Details
| NPI number | 1750383261 |
|---|---|
| LBN Legal business name | Coven, Richard Leslie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Oct 20th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750383261 | NPPES |
| Other | 16A911 | EMPIRE MEDICARE | |
| MEDICAID | 00705459 | EMPIRE MEDICARE |
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