Kristal, Leonard

Kristal, Leonard is an individual health care provider with primary practice located at 181 N Belle Mead Rd , East Setauket NY 11733-3495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Dermatology, which is considered as his primary health care specialty. Kristal, Leonard can be contacted via phone (631) 444-4200.

Contact Information

Primary practice address
181 N Belle Mead Rd East Setauket NY 11733-3495
Phone: (631) 444-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 183687 New York

Profile Details

NPI number 1871533810
LBN Legal business name Kristal, Leonard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 19 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 1871533810 NPPES
New York Other 4564409 AETNA
New York Other 70F19 AETNA
New York MEDICAID 01211072 AETNA

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