Provider Demographics
NPI:1326213828
Name:ALON, LEAH (MD)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:
Last Name:ALON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:NICHOLS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:133 MORNINGSIDE AVE
Mailing Address - Street 2:THE NEW YORK HOTEL TRADES COUNCIL HEALTH CENTER, INC.
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-4802
Mailing Address - Country:US
Mailing Address - Phone:212-923-2525
Mailing Address - Fax:212-866-3524
Practice Address - Street 1:133 MORNINGSIDE AVE
Practice Address - Street 2:THE NEW YORK HOTEL TRADES COUNCIL HEALTH CENTER, INC.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4802
Practice Address - Country:US
Practice Address - Phone:212-923-2525
Practice Address - Fax:212-866-3524
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY265341207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology