Jill Leiderman, DDS

NPI #1841427341 in Stony Brook, New York

Provider Information

NPI Number: 1841427341
Entity Type: Individual
Name: Jill Leiderman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 11, 2009
Last Updated: Dec 6, 2010

Practice Location

Address: STONY BROOK UNIVERSITY HOSPITAL
Address 2: MEDICAL STAFF OFFICE T14
City: Stony Brook
State: New York
ZIP Code: 11794-7148
Phone: (631) 444-2754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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