Provider Demographics
NPI:1952692402
Name:LESHI, VERA (DDS)
Entity Type:Individual
Prefix:DR
First Name:VERA
Middle Name:
Last Name:LESHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-3316
Mailing Address - Country:US
Mailing Address - Phone:914-946-0222
Mailing Address - Fax:914-946-0219
Practice Address - Street 1:450 N BROADWAY
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-3316
Practice Address - Country:US
Practice Address - Phone:914-946-0222
Practice Address - Fax:914-946-0219
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049106-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist