Provider Demographics
NPI:1801899430
Name:LENTINI, JAMES PAUL (DPM)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PAUL
Last Name:LENTINI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15 EATON AVE
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815-1768
Mailing Address - Country:US
Mailing Address - Phone:607-336-9098
Mailing Address - Fax:607-336-9097
Practice Address - Street 1:15 EATON AVE
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-1768
Practice Address - Country:US
Practice Address - Phone:607-336-9098
Practice Address - Fax:607-336-9097
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004944213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01262073Medicaid
NY01262073Medicaid
NY56911BMedicare PIN
NYU24478Medicare UPIN