Healthcare Provider Details

I. General information

NPI: 1699686121
Provider Name (Legal Business Name): LEONARD SHARZER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 W 96TH ST APT 11I
NEW YORK NY
10025-6267
US

IV. Provider business mailing address

13600 MARINA POINTE DR UNIT 515
MARINA DEL REY CA
90292-9249
US

V. Phone/Fax

Practice location:
  • Phone: 917-439-0446
  • Fax:
Mailing address:
  • Phone: 917-439-0446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number134151
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: