Provider Demographics
NPI:1538190301
Name:PIERRO, LEONARD JR (PT)
Entity type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:
Last Name:PIERRO
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 UNION BLVD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-2739
Mailing Address - Country:US
Mailing Address - Phone:973-956-7807
Mailing Address - Fax:973-956-7808
Practice Address - Street 1:79 UNION BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2739
Practice Address - Country:US
Practice Address - Phone:973-956-7807
Practice Address - Fax:973-956-7808
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00548300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ046291Medicare ID - Type UnspecifiedPHYSICAL THERAPY PROVIDER