Provider Demographics
NPI:1225410889
Name:EUGENE F. LESINSKI DDS PC
Entity Type:Organization
Organization Name:EUGENE F. LESINSKI DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:WASZCZAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-893-2211
Mailing Address - Street 1:2768 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-3006
Mailing Address - Country:US
Mailing Address - Phone:716-893-2211
Mailing Address - Fax:
Practice Address - Street 1:2768 HARLEM RD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-3006
Practice Address - Country:US
Practice Address - Phone:716-893-2211
Practice Address - Fax:716-893-4414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00683303Medicaid