Provider Demographics
NPI:1457624454
Name:SER, HOWARD LEIGHTON (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:LEIGHTON
Last Name:SER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 S SHORE DR
Mailing Address - Street 2:
Mailing Address - City:STURBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01566-1307
Mailing Address - Country:US
Mailing Address - Phone:508-347-5687
Mailing Address - Fax:508-347-5687
Practice Address - Street 1:444 W MAIN ST
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-3012
Practice Address - Country:US
Practice Address - Phone:631-475-5250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY121804-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology