| Dr Corinne Lowe Leach, MD | |
|
301 Prospect Ave, Syracuse, NY 13203-1807 | |
| (315) 448-5111 | |
| Not Available |
| Full Name | Dr Corinne Lowe Leach |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 301 Prospect Ave, Syracuse, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992774764 | NPI | - | NPPES |
| 3605817 | Other | IHA | |
| 01084344 | Medicaid | NY | |
| 0011530040001 | Medicaid | PA | |
| 040426000756 | Other | FIDELIS | |
| 000510407001 | Other | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 174590 (New York) | Primary |
| Entity Name | Kaleida Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639209596 PECOS PAC ID: 7810805280 Enrollment ID: O20031105000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Corinne Lowe Leach, MD 9 Hillsboro Dr, Orchard Park, NY 14127-3412 Ph: (716) 135-0107 | Dr Corinne Lowe Leach, MD 301 Prospect Ave, Syracuse, NY 13203-1807 Ph: (315) 448-5111 |
Ms. Bonnie Lee Marr I, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave Ste 9100, Syracuse, NY 13210 Phone: 315-470-7379 Fax: 315-470-2923 | |
Dr. David William Hansen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 Phone: 315-464-5726 Fax: 315-464-2510 | |
Dr. Audrey Victoria Vandewall, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-408-5854 | |
Shauna Thariath, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030 | |
Dr. Faruk Oktem, Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 725 Irving Ave, Ste 805, Syracuse, NY 13210 Phone: 315-464-6340 Fax: 315-464-6329 | |
Dr. Aisha Sultana Baig, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 East Adam St, Syracuse, NY 13210 Phone: 315-464-6323 Fax: 315-464-6322 | |
Megan A Pinnamaneni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5420 |