Provider Demographics
NPI:1134204290
Name:LEPORATI, JAMES (MSC, LAC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:LEPORATI
Suffix:
Gender:M
Credentials:MSC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2572 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3504
Mailing Address - Country:US
Mailing Address - Phone:718-769-8900
Mailing Address - Fax:718-615-2107
Practice Address - Street 1:2572 E 15TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3504
Practice Address - Country:US
Practice Address - Phone:718-769-8900
Practice Address - Fax:718-615-2107
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000465171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist