Provider Demographics
NPI:1134308257
Name:LEONARD PLAINE MD PC
Entity Type:Organization
Organization Name:LEONARD PLAINE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PLAINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-825-6387
Mailing Address - Street 1:150 E 32ND ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6024
Mailing Address - Country:US
Mailing Address - Phone:646-825-6387
Mailing Address - Fax:646-825-6399
Practice Address - Street 1:150 E 32ND ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6024
Practice Address - Country:US
Practice Address - Phone:646-825-6387
Practice Address - Fax:646-825-6399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY82417208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB11865Medicare UPIN