Provider Demographics
NPI:1336494871
Name:GARFINKEL, LEONARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:
Last Name:GARFINKEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 E 83RD ST
Mailing Address - Street 2:APT. 5GH
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-1906
Mailing Address - Country:US
Mailing Address - Phone:954-303-3396
Mailing Address - Fax:
Practice Address - Street 1:151 E 83RD ST
Practice Address - Street 2:APT. 5GH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1906
Practice Address - Country:US
Practice Address - Phone:954-303-3396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-20
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0290871223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics