Organization Name: | DENIS LEBLANG DPM PC |
NPI Number: | 1073688313 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENIS LEBLANG (PODIATRIST,OWNER,CORPORATION) |
Mailing Address: | 285 N Route 303 15 Congers |
State: | NY US |
Postal Code: | 109201425 |
Phone Number: | 8452688282 |
Fax Number: | 8452688298 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 11/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | N002957 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |