Provider Demographics
NPI:1952361578
Name:LEIT, MICHAEL E (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:LEIT
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 PORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-3001
Mailing Address - Country:US
Mailing Address - Phone:585-922-9003
Mailing Address - Fax:585-922-9007
Practice Address - Street 1:1425 PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-3001
Practice Address - Country:US
Practice Address - Phone:585-922-9003
Practice Address - Fax:585-922-9007
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228115-1207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000924504001OtherBCBS OF BUFFALO
NY02564794Medicaid
NY0991572OtherINDEPENDENT HEALTH
NY7531130OtherAETNA
NYP010228115OtherBCBS OF ROCHESTER
NY02198570Medicaid
NY139019CUOtherPREFERRED CARE
NYP00155985OtherRAILROAD MEDICARE
RA2483Medicare PIN
NY7531130OtherAETNA
NYP010228115OtherBCBS OF ROCHESTER