Vincent R Leddy


Address: 160 4th St, Brentwood, NY 11717-4610

Vincent R Leddy (NPI# 1538201231, PAC ID# 2860516085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1538201231
PAC ID by PECOS 2860516085
Professional Enrollment ID I20100825000401
Full Name Vincent R Leddy
Address 160 4th St
Brentwood
NY 11717-4610
Gender M
Graduation Year 1981
Primary Specialty INTERNAL MEDICINE
Secondary Specialties FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330286 GOOD SAMARITAN HOSPITAL MEDICAL CENTER

Other Locations

Address Phone Organization
160 4th St, Brentwood, NY 11717-4610

Organization Information

Office Location

Street Address 160 4TH ST
City BRENTWOOD
State NY
Zip 11717-4610

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Name Specialty Organization Address
Roberto I Toledo Clinical Social Worker 376 Hancock St, Brentwood, NY 11717-2854
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Ana A Carrion Clinical Social Worker 14 Washington Ave, Suite 2, Brentwood, NY 11717-3247
Christopher S Durant Orthopedic Surgery 652 Suffolk Ave, Suite 210, Brentwood, NY 11717-4305
Sarita K. Dorschug Family Medicine 652 Suffolk Ave, Suite 208, Brentwood, NY 11717-4305
Peter Mancuso Podiatry 620 Suffolk Ave, Brentwood, NY 11717-4306
Vivian Lee Renta-skyer Optometry Sight Medical Doctors Pllc 601 Suffolk Ave, Brentwood, NY 11717-4309
Neil S Nichols Ophthalmology Sight Medical Doctors Pllc 601 Suffolk Ave, Brentwood, NY 11717-4309
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Competitor

Search similar physicians

City BRENTWOOD
Zip Code 11717
Specialty INTERNAL MEDICINE
City + Specialty BRENTWOOD + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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