MEDICARE: DR. KATHLEEN ANNE LEONARD 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
1	207ZB0001X	Blood Banking & Transfusion Medicine Physician	181339	NY

General Provider Information

NPI Number	:	1740321934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHLEEN ANNE LEONARD M.D.

Provider Business Mailing Address
First Line	:	ONE GUSTAVE L. LEVY PLACE
Second Line	:	MOUNT SINAI MEDICAL CENTER- BLOOD BANK, KCC-B
City	:	NEW YORK
State	:	NY
Zip	:	10029-3816
Country	:	US
Telephone Number	:	212-241-8810
Fax Number	:	212-876-5594

Provider Business Practice Location Address
First Line	:	ONE GUSTAVE L. LEVY PLACE
Second Line	:	MOUNT SINAI MEDICAL CENTER, BLOOD BANK KCC-B
City	:	NEW YORK
State	:	NY
Zip	:	10029-3816
Country	:	US
Telephone Number	:	212-241-8810
Fax Number	:	212-876-5594

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	11/12/2009

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