Provider Demographics
NPI:1528042413
Name:STEPENSKY, LEON
Entity Type:Individual
Prefix:
First Name:LEON
Middle Name:
Last Name:STEPENSKY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 HAMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3052
Mailing Address - Country:US
Mailing Address - Phone:718-809-7511
Mailing Address - Fax:718-228-8444
Practice Address - Street 1:3111 BRIGHTON 2ND ST
Practice Address - Street 2:L2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7535
Practice Address - Country:US
Practice Address - Phone:718-332-8633
Practice Address - Fax:718-332-0547
Is Sole Proprietor?:No
Enumeration Date:2005-12-04
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005624213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02128430Medicaid
NY4184270001OtherMEDICARE DMERC
NYU82796Medicare UPIN
NYPC1332Medicare PIN