Provider Demographics
NPI:1275911026
Name:JOSEPH LEANZA DDS PC
Entity Type:Organization
Organization Name:JOSEPH LEANZA DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEANZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-682-5105
Mailing Address - Street 1:1 E POST RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4623
Mailing Address - Country:US
Mailing Address - Phone:914-682-5105
Mailing Address - Fax:914-684-1640
Practice Address - Street 1:1 E POST RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4623
Practice Address - Country:US
Practice Address - Phone:914-682-5105
Practice Address - Fax:914-684-1640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-13
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038540122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty