Provider Demographics
NPI:1740321934
Name:LEONARD, KATHLEEN ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:ANNE
Last Name:LEONARD
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:ONE GUSTAVE L. LEVY PLACE
Mailing Address - Street 2:MOUNT SINAI MEDICAL CENTER- BLOOD BANK, KCC-B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-3816
Mailing Address - Country:US
Mailing Address - Phone:212-241-8810
Mailing Address - Fax:212-876-5594
Practice Address - Street 1:ONE GUSTAVE L. LEVY PLACE
Practice Address - Street 2:MOUNT SINAI MEDICAL CENTER, BLOOD BANK KCC-B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-3816
Practice Address - Country:US
Practice Address - Phone:212-241-8810
Practice Address - Fax:212-876-5594
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2009-11-12
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Provider Licenses
StateLicense IDTaxonomies
NY181339207ZB0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF56711-68 H921Medicare UPIN