| Organization Name: | LESLIE BREITEN, M.D. |
| NPI Number: | 1083972764 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LESLIE B BREITEN (OWNER) |
| Mailing Address: | 460 Main St Ste 1 Oneonta |
| State: | NY US |
| Postal Code: | 138202027 |
| Phone Number: | 6074330277 |
| Fax Number: | 6074321184 |
| NPI Enumeration Date: | 05/01/2012 |
| NPI Last Update Date: | 05/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 1966041 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |