Basic Information
| Provider Information | |||||||||
| NPI: | 1356368146 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LEANZA | ||||||||
| FirstName: | FRANCESCO | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16 E 16TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100033105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122065200 | ||||||||
| FaxNumber: | 2122065279 | ||||||||
| Practice Location | |||||||||
| Address1: | 16 E 16TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100033105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122065200 | ||||||||
| FaxNumber: | 2122065279 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 230177 | NY | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 00903700 | 05 | NY | MEDICAID |