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NPI Code Detail

MEDICARE: LEONARD G EPISCOPIO DDS

MEDICARE:   LEONARD G EPISCOPIO  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry045084NY

General Provider Information

NPI Number : 1225195258
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEONARD G EPISCOPIO DDS
Provider Business Mailing Address
First Line : 31 OAKLAND AVE
Second Line :
City : WARWICK
State : NY
Zip : 10990-1522
Country : US
Telephone Number : 845-986-2929
Fax Number :
Provider Business Practice Location Address
First Line : 31 OAKLAND AVE
Second Line :
City : WARWICK
State : NY
Zip : 10990-1522
Country : US
Telephone Number : 845-986-2929
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 07/08/2007

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Directions to “ LEONARD G EPISCOPIO DDS” Practice Location

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