Provider Demographics
NPI:1821098245
Name:LEVEN, LEONARD I (MD)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:I
Last Name:LEVEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3 BAYBERRY RD
Mailing Address - Street 2:
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-1701
Mailing Address - Country:US
Mailing Address - Phone:914-347-4510
Mailing Address - Fax:914-347-5020
Practice Address - Street 1:3 W END AVE
Practice Address - Street 2:
Practice Address - City:OLD GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06870-1640
Practice Address - Country:US
Practice Address - Phone:203-637-1486
Practice Address - Fax:203-637-1486
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-28
Last Update Date:2025-09-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0267442084P0800X, 2084P0804X
NY1673102084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTA64707Medicare UPIN