Nicholas Leaver, | |
400 W 128th St Apt 53a, New York, NY 10027-2858 | |
(646) 409-7579 | |
Not Available |
Full Name | Nicholas Leaver |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 18 Years |
Location | 400 W 128th St Apt 53a, New York, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306138722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 13886 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Rose Dominican Hospitals - Siena Campus | Henderson, NV | Hospital |
Saint Rose Dominican Hospitals - Rose De Lima | Henderson, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vituity - Nevada Koury And Partners Pllc | 6608110143 | 73 |
Entity Name | Vituity - Nevada Koury & Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487255089 PECOS PAC ID: 6608110143 Enrollment ID: O20181210002925 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Leaver, 400 W 128th St Apt 53a, New York, NY 10027-2858 Ph: (646) 409-7579 | Nicholas Leaver, 400 W 128th St Apt 53a, New York, NY 10027-2858 Ph: (646) 409-7579 |
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