| Vr Leddy, M.d., P.c. | |
|
160 Fourth Street Brentwood NY 11717 | |
| (631) 273-7105 | |
| (631) 273-7253 |
| Full Name | Vr Leddy, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 160 Fourth Street, Brentwood, New York |
| Authorized Official Name and Position | Vincent Richard Leddy (PRESIDENT) |
| Authorized Official Contact | 6312737105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vr Leddy, M.d., P.c. 160 Fourth Street Brentwood NY 11717 Ph: (631) 273-7105 | Vr Leddy, M.d., P.c. 160 Fourth Street Brentwood NY 11717 Ph: (631) 273-7105 |
| NPI Number | 1275768327 |
|---|---|
| Provider Enumeration Date | 05/19/2009 |
| Last Update Date | 09/24/2010 |
| Medicare PECOS PAC ID | 5890819015 |
|---|---|
| Medicare Enrollment ID | O20100825000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275768327 | NPI | - | NPPES |
| 1538201231 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 152061 (New York) | Primary |
| Provider Name | Salvatore Trazzera |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568469757 PECOS PAC ID: 4981691789 Enrollment ID: I20040426000906 |
| Provider Name | Paul Bonheim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1235139775 PECOS PAC ID: 2466355987 Enrollment ID: I20040917000751 |
| Provider Name | Vincent R Leddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538201231 PECOS PAC ID: 2860516085 Enrollment ID: I20100825000401 |
| Provider Name | Akisha R Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861860611 PECOS PAC ID: 3870802036 Enrollment ID: I20151029000924 |
Apple Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 998 Crooked Hill Rd, Building #5, Brentwood, NY 11717 Phone: 631-306-5749 | |
Chowdhury Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Alkier St, Brentwood, NY 11717 Phone: 631-488-0880 | |
Vincent Leddy Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 4th St, Brentwood, NY 11717 Phone: 631-273-7105 Fax: 631-273-7253 | |
Brentwood Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 769 Commack Rd, Brentwood, NY 11717 Phone: 631-647-7001 Fax: 631-647-7003 | |
Family Medical Care Of Ny P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 751 Commack Rd, Brentwood, NY 11717 Phone: 631-647-9060 Fax: 631-822-2400 | |
Brentwood Medical Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Second Ave, Suite 1, Brentwood, NY 11717 Phone: 631-751-5588 |