Provider Demographics
NPI:1427010602
Name:POLINSKI, LEONARD J (MD)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:J
Last Name:POLINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 PERRY HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1853
Mailing Address - Country:US
Mailing Address - Phone:412-931-7415
Mailing Address - Fax:412-931-7257
Practice Address - Street 1:526 PERRY HWY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15229-1854
Practice Address - Country:US
Practice Address - Phone:412-931-7415
Practice Address - Fax:412-931-7257
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039869L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA10934255OtherCAQH
PA001050787Medicaid
PAP00710020OtherRR MEDICARE
PAP00710020OtherRR MEDICARE
PAB42152Medicare UPIN