Provider Demographics
NPI:1235553710
Name:VOLPE, LEANDRA
Entity Type:Individual
Prefix:MRS
First Name:LEANDRA
Middle Name:
Last Name:VOLPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21947 74TH AVE
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11364-3031
Mailing Address - Country:US
Mailing Address - Phone:917-543-0310
Mailing Address - Fax:718-776-0227
Practice Address - Street 1:21947 74TH AVE
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11364-3031
Practice Address - Country:US
Practice Address - Phone:917-543-0310
Practice Address - Fax:718-776-0227
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-05
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No172V00000XOther Service ProvidersCommunity Health Worker
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other