Provider Demographics
NPI:1710184445
Name:LEIGHTON, MARY ELIZABETH (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ELIZABETH
Last Name:LEIGHTON
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
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Mailing Address - Street 1:21 ROBINSON AVE
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10507-1821
Mailing Address - Country:US
Mailing Address - Phone:914-216-2592
Mailing Address - Fax:
Practice Address - Street 1:NEW YORK MEDICAL COLLEGE
Practice Address - Street 2:MUNGER PAVILLION, ROOM 110
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-493-7997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF381560-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics