Healthcare Provider Details

I. General information

NPI: 1366652968
Provider Name (Legal Business Name): ROBERT A LESNOW DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SCENIC RD
ACCORD NY
12404
US

IV. Provider business mailing address

56 BOODLEHOLE RD
ACCORD NY
12404-5906
US

V. Phone/Fax

Practice location:
  • Phone: 845-399-1547
  • Fax:
Mailing address:
  • Phone: 845-399-1547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX006150
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number003200
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: