Healthcare Provider Details

I. General information

NPI: 1427010602
Provider Name (Legal Business Name): LEONARD JOSEPH POLINSKI JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 BROOKTREE COURT SUITE 200
WEXFORD PA
15090
US

IV. Provider business mailing address

6400 BROOKTREE COURT SUITE 200
WEXFORD PA
15090
US

V. Phone/Fax

Practice location:
  • Phone: 412-931-7415
  • Fax: 833-974-1969
Mailing address:
  • Phone: 412-931-7415
  • Fax: 833-974-1969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD039869L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: