Abraham D Leiser, NP | |
187 Enclave Blvd, Lakewood, NJ 08701-5787 | |
(347) 201-2747 | |
Not Available |
Full Name | Abraham D Leiser |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 187 Enclave Blvd, Lakewood, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861162695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 348446 (New York) | Primary |
Entity Name | Ord Physiatry Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437386414 PECOS PAC ID: 1355232026 Enrollment ID: O20210709001008 |
Mailing Address | Practice Location Address |
---|---|
Abraham D Leiser, NP 7 Doolin Rd, New City, NY 10956-1345 Ph: (347) 201-2747 | Abraham D Leiser, NP 187 Enclave Blvd, Lakewood, NJ 08701-5787 Ph: (347) 201-2747 |
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