Leo Anthony Waickman in Saranac Lake - Internal Medicine

Leo Anthony Waickman - NPI 1285621912

Leo Anthony Waickman is a Internal Medicine in Saranac Lake, New York. Leo Anthony Waickman practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Leo Anthony Waickman is 1285621912. The last update date is 2023-11-11.

Leo Anthony Waickman's current location address is 118 Main St, Saranac Lake, New York. You can contact this provider via phone number 5188914000 and fax number 5188912598. The mailing address for Leo Anthony Waickman is 118 Main St, Saranac Lake, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Leo Anthony Waickman
Address 118 Main St, Saranac Lake, New York
Phone Number 5188914000
Fax Number 5188912598
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1285621912
Provider Enumeration Date 2005-09-27
Last Updated Date 2023-11-11

Provider Mailing Address Detail

Address 118 Main St
City Saranac Lake
State New York (NY)
Post Code 129831705
Phone Number 5188914000
Fax Number 5188912598

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 162137
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
900569 NY --
110084275 NY RAILROAD MEDICARE

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FAQs about Leo Anthony Waickman

What is the Leo Anthony Waickman's 1285621912?

The Leo Anthony Waickman's NPI (National Provider Identifier) Number is 1285621912. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Leo Anthony Waickman is located?

The Leo Anthony Waickman is situated at the following address: 118 Main St, Saranac Lake, NY, 129831705.

What is Leo Anthony Waickman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Leo Anthony Waickman is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

When did Leo Anthony Waickman receive its 1285621912 assignment?

The Leo Anthony Waickman was assigned its 1285621912 on 2005-09-27, which is the date when this unique identifier was issued to the organization.

When was the information related to Leo Anthony Waickman most recently updated or refreshed?

The details pertaining to the Leo Anthony Waickman, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-11-11.

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