Provider Demographics
NPI:1457367294
Name:LEILA P BINDER MD PC
Entity Type:Organization
Organization Name:LEILA P BINDER MD PC
Other - Org Name:YORK PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:BINDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-969-1500
Mailing Address - Street 1:PO BOX 1809
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23692-1809
Mailing Address - Country:US
Mailing Address - Phone:757-969-1500
Mailing Address - Fax:757-969-1502
Practice Address - Street 1:5033 GEORGE WASHINGTON MEM HWY
Practice Address - Street 2:SUITE B
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23692-2510
Practice Address - Country:US
Practice Address - Phone:757-969-1500
Practice Address - Fax:757-969-1502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101053426208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010037409Medicaid
H01507Medicare UPIN