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General NPI Number Information
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NPI Number | 1154134013
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Entity Type | Individual
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Provider Name | LEAH GIAKAS PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1869 BRENTWOOD RD
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City | BRENTWOOD
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State | NY
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Zip | 11717-4625
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Country | US
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Telephone | 844-400-1975
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Fax |
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Provider Business Mailing Address
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Address Line | 6301 RIVERDALE AVE
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City | BRONX
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State | NY
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Zip | 10471-1046
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Country | US
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Telephone | 718-405-3739
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 033696
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License Number State | NY
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