Provider Demographics
NPI:1477569945
Name:TAYNOR, LESLIE Z (DDS)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:Z
Last Name:TAYNOR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 MADISON AVE
Mailing Address - Street 2:SUITE 2500
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-759-1093
Mailing Address - Fax:212-308-6325
Practice Address - Street 1:595 MADISON AVE
Practice Address - Street 2:SUITE 2500
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-759-1093
Practice Address - Fax:212-308-6325
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031362122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist