Michele H Leder Md Facp Pc | |
169 N Middletown Rd Pearl River NY 10965-2057 | |
(845) 735-3883 | |
(845) 735-5554 |
Full Name | Michele H Leder Md Facp Pc |
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Speciality | Internal Medicine |
Location | 169 N Middletown Rd, Pearl River, New York |
Authorized Official Name and Position | Michele H. Leder (PHYSICIAN/OWNER) |
Authorized Official Contact | 8453045059 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michele H Leder Md Facp Pc 169 N Middletown Rd Pearl River NY 10965-2057 Ph: (845) 735-3883 | Michele H Leder Md Facp Pc 169 N Middletown Rd Pearl River NY 10965-2057 Ph: (845) 735-3883 |
NPI Number | 1255979100 |
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Provider Enumeration Date | 12/11/2019 |
Last Update Date | 12/11/2019 |
Medicare PECOS PAC ID | 0941630826 |
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Medicare Enrollment ID | O20200416000973 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255979100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Michele H Leder |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992771877 PECOS PAC ID: 1951385657 Enrollment ID: I20040617001360 |
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