Organization Name: | DENIS LEBLANG D.P.M.P.C. |
NPI Number: | 1366611519 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENIS LEBLANG (PODIATRIST/OWNER) |
Mailing Address: | 388 Westchester Ave Suite 1f Port Chester |
State: | NY US |
Postal Code: | 105733650 |
Phone Number: | 9149394101 |
Fax Number: | 9149394164 |
NPI Enumeration Date: | 02/21/2008 |
NPI Last Update Date: | 05/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | N002957 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |