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General NPI Number Information
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NPI Number | 1316093065
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Entity Type | Individual
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Provider Name | MICHELE LEONE-RENNE D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 133 FENIMORE RD
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City | MAMARONECK
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State | NY
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Zip | 10543-3502
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Country | US
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Telephone | 914-381-0778
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Fax |
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Provider Business Mailing Address
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Address Line | 68 STONEHOUSE RD
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City | SOMERS
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State | NY
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Zip | 10589-2510
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 049212
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License Number State | NY
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