Provider Demographics
NPI:1538242417
Name:SCHIFFMAN, LEONARD E (DMD)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:E
Last Name:SCHIFFMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 FRANKLIN PL
Mailing Address - Street 2:SUITE B
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1218
Mailing Address - Country:US
Mailing Address - Phone:516-569-1111
Mailing Address - Fax:516-569-9016
Practice Address - Street 1:141 FRANKLIN PL
Practice Address - Street 2:SUITE B
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1218
Practice Address - Country:US
Practice Address - Phone:516-569-1111
Practice Address - Fax:516-569-9016
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030332122300000X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYD9B831Medicare PIN
NYT50285Medicare UPIN