Basic Information
| Provider Information | |||||||||
| NPI: | 1295755262 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | THOMAS | ||||||||
| FirstName: | LENO | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19 BAKER AVENUE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 126011375 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8454541942 | ||||||||
| FaxNumber: | 8454524638 | ||||||||
| Practice Location | |||||||||
| Address1: | 19 BAKER AVENUE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 126011375 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8454541942 | ||||||||
| FaxNumber: | 8454524638 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2006 | ||||||||
| LastUpdateDate: | 10/02/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | 016686 | ME | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RH0003X | 036120771 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RH0003X | 258981 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No ID Information.