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Contact Information

LEONARDO DISHMAN, MD
133 PARK ST
MALONE, NY12953-1220
 Phone: 518-481-6434
 Fax: 516-481-2366
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology

207ZP0101X 22 Physician/Pathology
 

Blood Banking & Transfusion Medicine

207ZB0001X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for LEONARDO DISHMAN · (Male)

NPI Number 1528176682
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2006
Last updated 03/21/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 160893
Hospital affiliation(s)
  • ALICE HYDE MEDICAL CENTER - (Acute Care)
    133 PARK STREET
    MALONE, NY 12953
  • CANTON-POTSDAM HOSPITAL - (Acute Care)
    50 LEROY STREET
    POTSDAM, NY 13676
  • MASSENA MEMORIAL HOSPITAL - (Acute Care)
    1 HOSPITAL DRIVE
    MASSENA, NY 13662
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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