Provider Demographics
NPI:1134676612
Name:LEONE, PIETRA VALENTINA (DR)
Entity Type:Individual
Prefix:DR
First Name:PIETRA
Middle Name:VALENTINA
Last Name:LEONE
Suffix:
Gender:F
Credentials:DR
Other - Prefix:DR
Other - First Name:PIERINA
Other - Middle Name:VALENTINA
Other - Last Name:LEONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DR
Mailing Address - Street 1:5 DYER PL
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663
Mailing Address - Country:US
Mailing Address - Phone:201-527-7935
Mailing Address - Fax:
Practice Address - Street 1:5 DYER PL
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663
Practice Address - Country:US
Practice Address - Phone:201-527-7935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01376800225100000X
CA43067225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist