Provider Demographics
NPI:1164507455
Name:LEONARDI, JOSEPH FRANCIS (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FRANCIS
Last Name:LEONARDI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 PIERCE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-5149
Mailing Address - Country:US
Mailing Address - Phone:570-718-1500
Mailing Address - Fax:570-718-6590
Practice Address - Street 1:250 PIERCE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-5149
Practice Address - Country:US
Practice Address - Phone:570-718-1500
Practice Address - Fax:570-718-6590
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006971L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2553501OtherAETNA HMO
PA815082OtherFIRST PRIORITY
PA1627530Medicaid
PALE696431Medicare ID - Type Unspecified
PA2553501OtherAETNA HMO