Basic Information
| Provider Information | |||||||||
| NPI: | 1275811655 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEADER | ||||||||
| FirstName: | ISAAC | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 E 234TH ST APT 3F | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104702458 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8023183917 | ||||||||
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| Practice Location | |||||||||
| Address1: | NORTH SHORE MEDICAL CENTER | ||||||||
| Address2: | 81 HIGHLAND AVENUE | ||||||||
| City: | SALEM | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01970 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9787411200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/02/2011 | ||||||||
| LastUpdateDate: | 10/30/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 275229-1 | NY | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.