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NPI Code Detail

MEDICARE: DR. LEONARD MICHAEL BLEY M.D.

MEDICARE: DR. LEONARD MICHAEL BLEY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician182712NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578541991
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEONARD MICHAEL BLEY M.D.
Provider Business Mailing Address
First Line : 587 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-2021
Country : US
Telephone Number : 718-627-0303
Fax Number : 718-336-8103
Provider Business Practice Location Address
First Line : 587 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-2021
Country : US
Telephone Number : 718-627-0303
Fax Number : 718-336-8103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 08/12/2008

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