Provider Demographics
NPI:1780025643
Name:LEON PROTASS MD PC
Entity Type:Organization
Organization Name:LEON PROTASS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:PROTASS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-907-2561
Mailing Address - Street 1:233 NORMAN RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-3113
Mailing Address - Country:US
Mailing Address - Phone:914-907-2561
Mailing Address - Fax:
Practice Address - Street 1:233 NORMAN RD
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-3113
Practice Address - Country:US
Practice Address - Phone:914-907-2561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0902722084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty