Provider Demographics
NPI:1528014594
Name:ZAPIACH, LEONIDAS (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONIDAS
Middle Name:
Last Name:ZAPIACH
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 1:235 60TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-2805
Mailing Address - Country:US
Mailing Address - Phone:201-854-4646
Mailing Address - Fax:201-854-3203
Practice Address - Street 1:235 60TH ST
Practice Address - Street 2:
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093-2805
Practice Address - Country:US
Practice Address - Phone:201-854-4646
Practice Address - Fax:201-854-3203
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA03199200174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1617303Medicaid
NJC61010Medicare UPIN
NJ1617303Medicaid