Provider Demographics
NPI:1275811655
Name:LEADER, ISAAC C (MD)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:C
Last Name:LEADER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 E 234TH ST APT 3F
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10470-2458
Mailing Address - Country:US
Mailing Address - Phone:802-318-3917
Mailing Address - Fax:
Practice Address - Street 1:NORTH SHORE MEDICAL CENTER
Practice Address - Street 2:81 HIGHLAND AVENUE
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970
Practice Address - Country:US
Practice Address - Phone:978-741-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY275229-1208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist