Healthcare Provider Details

I. General information

NPI: 1720828346
Provider Name (Legal Business Name): LEAP HEALTH MEDICAL, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 MADISON AVE STE 76672
NEW YORK NY
10016-5101
US

IV. Provider business mailing address

169 MADISON AVE STE 76672
NEW YORK NY
10016-5101
US

V. Phone/Fax

Practice location:
  • Phone: 929-295-5899
  • Fax:
Mailing address:
  • Phone: 929-295-5899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: ELI DANIELS
Title or Position: SR. MANAGER, RCM
Credential:
Phone: 929-295-5899