Healthcare Provider Details

I. General information

NPI: 1457367294
Provider Name (Legal Business Name): LEILA P BINDER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5033 GEORGE WASHINGTON MEM HWY SUITE B
YORKTOWN VA
23692-2510
US

IV. Provider business mailing address

PO BOX 1809
YORKTOWN VA
23692-1809
US

V. Phone/Fax

Practice location:
  • Phone: 757-969-1500
  • Fax: 757-969-1502
Mailing address:
  • Phone: 757-969-1500
  • Fax: 757-969-1502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101053426
License Number StateVA

VIII. Authorized Official

Name: DR. LEILA BINDER
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 757-969-1500