Provider Demographics
NPI:1528406428
Name:NEW HORIZON MEDICAL OFFICES PC
Entity Type:Organization
Organization Name:NEW HORIZON MEDICAL OFFICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:YAO
Authorized Official - Last Name:KALEDZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-220-0900
Mailing Address - Street 1:3097 VILLA AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468
Mailing Address - Country:US
Mailing Address - Phone:718-220-0900
Mailing Address - Fax:718-733-6773
Practice Address - Street 1:3097 VILLA AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468
Practice Address - Country:US
Practice Address - Phone:718-220-0900
Practice Address - Fax:718-733-6773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY167844208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty