Provider Demographics
NPI:1841224318
Name:LEFF, SANFORD (MD)
Entity Type:Individual
Prefix:DR
First Name:SANFORD
Middle Name:
Last Name:LEFF
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 1:47 PLAZA STREET WEST
Mailing Address - Street 2:PARK SLOPE CARDIAC DIAGNOSTIC SERVICES, P.C.
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217
Mailing Address - Country:US
Mailing Address - Phone:718-789-4332
Mailing Address - Fax:
Practice Address - Street 1:47 PLAZA STREET WEST
Practice Address - Street 2:PARK SLOPE CARDIAC DIAGNOSTIC SERVICES, P.C.
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217
Practice Address - Country:US
Practice Address - Phone:718-789-4332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY109571207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00194454Medicaid
NY296901Medicare ID - Type Unspecified