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Contact Information

LEON S BACCHUS, MD
300 COMMUNITY DRIVE
DEPARTMENT OF RADIOLOGY
MANHASSET, NY11030
 Phone: 516-562-0100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Pediatric Radiology

2085P0229X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LEON S BACCHUS · (Male)

NPI Number 1265643332
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2007
Last updated 10/07/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 2015-00834
  • NY License # 258760
  • PA License # MT188246
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
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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