Leyngold, Ilya M
Leyngold, Ilya M is an individual health care provider with primary practice located at 3015 E Goldstone Dr # 130 , Meridian ID 83642-1549. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Leyngold, Ilya M can be contacted via phone (208) 900-4673.Contact Information
Primary practice address
3015 E Goldstone Dr # 130
Meridian ID 83642-1549
Phone: (208) 900-4673
Fax: (208) 266-5033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME112787 | Florida |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | ME112787 | Florida |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | 2016-00134 | North Carolina |
Profile Details
| NPI number | 1407996176 |
|---|---|
| LBN Legal business name | Leyngold, Ilya M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Nov 10th, 2022 - about 4 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 | 1407996176 | NPPES |
| Florida | Other | 14L01 | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 005984000 | BLUE CROSS BLUE SHIELD |
| Florida | Other | 20024216 | BLUE CROSS BLUE SHIELD |
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