Provider Demographics
NPI:1477535664
Name:BARON, LEONARD (DDS)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:
Last Name:BARON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 E 18TH ST
Mailing Address - Street 2:APT LD
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-5776
Mailing Address - Country:US
Mailing Address - Phone:718-287-4220
Mailing Address - Fax:718-287-0231
Practice Address - Street 1:380 E 18TH ST
Practice Address - Street 2:APT LD
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-5776
Practice Address - Country:US
Practice Address - Phone:718-287-4220
Practice Address - Fax:718-287-0231
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20970208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice