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Contact Information

MARK R LEITER, DPM
107 OCEAN AVE
WOODMERE, NY11598-1440
 Phone: 515-382-3470
 Fax: 516-569-7564
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARK R LEITER · (Male)

NPI # 1174730592
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/16/2007
Last updated 12/10/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # NOO4255-1
  • NY Medicaid 01039005
Hospital affiliation(s) Not Available
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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