Healthcare Provider Details

I. General information

NPI: 1669310322
Provider Name (Legal Business Name): DR CARRIE LEFF, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30335 W 13 MILE RD
FARMINGTON HILLS MI
48334-2262
US

IV. Provider business mailing address

6632 TELEGRAPH RD # 193
BLOOMFIELD HILLS MI
48301-3012
US

V. Phone/Fax

Practice location:
  • Phone: 248-766-5583
  • Fax:
Mailing address:
  • Phone: 248-766-5583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CARRIE FENTON LEFF
Title or Position: PHYSICIAN, OWNER
Credential: DO
Phone: 248-766-5583