| Leon Hodes Md Pc | |
|
474 Atlantic Ave East Rockaway NY 11518-1415 | |
| (516) 887-1900 | |
| (516) 887-0802 |
| Full Name | Leon Hodes Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 474 Atlantic Ave, East Rockaway, New York |
| Authorized Official Name and Position | Leon Hodes (OWNER) |
| Authorized Official Contact | 5168871900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leon Hodes Md Pc 474 Atlantic Ave East Rockaway NY 11518-1415 Ph: (516) 887-1900 | Leon Hodes Md Pc 474 Atlantic Ave East Rockaway NY 11518-1415 Ph: (516) 887-1900 |
| NPI Number | 1104174879 |
|---|---|
| Provider Enumeration Date | 08/28/2012 |
| Last Update Date | 10/11/2012 |
| Medicare PECOS PAC ID | 8628022605 |
|---|---|
| Medicare Enrollment ID | O20050311000865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104174879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 186998 (New York) | Primary |
| Provider Name | Leon Hodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043392616 PECOS PAC ID: 9234192287 Enrollment ID: I20041110000527 |
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