Provider Demographics
NPI:1801045372
Name:ABATE, LEONARD JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:
Last Name:ABATE
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 STERN DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1907
Mailing Address - Country:US
Mailing Address - Phone:845-562-5805
Mailing Address - Fax:
Practice Address - Street 1:384 WINDSOR HIGHWAY
Practice Address - Street 2:ROUTE 32,
Practice Address - City:VAILS GATE
Practice Address - State:NY
Practice Address - Zip Code:12584
Practice Address - Country:US
Practice Address - Phone:845-863-1054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026171183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist