Leonard Howard Boretz in Patchogue - General Practice
Leonard Howard Boretz - NPI 1730177072
Leonard Howard Boretz is a General Practice in Patchogue, New York. Leonard Howard Boretz practices all healthcare services and medical treatments related to General Practice. The NPI Number for Leonard Howard Boretz is 1730177072. The last update date is 2016-04-11.
Leonard Howard Boretz's current location address is 485 N Ocean Ave, Patchogue, New York. You can contact this provider via phone number 6312895844 and fax number 6313120074. The mailing address for Leonard Howard Boretz is 485 N Ocean Ave, Patchogue, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leonard Howard Boretz |
|---|---|
| Address | 485 N Ocean Ave, Patchogue, New York |
| Phone Number | 6312895844 |
| Fax Number | 6313120074 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1730177072 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2016-04-11 |
Provider Mailing Address Detail
| Address | 485 N Ocean Ave |
|---|---|
| City | Patchogue |
| State | New York (NY) |
| Post Code | 117721762 |
| Phone Number | 6312895844 |
| Fax Number | 6313120074 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 23912 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 347379 | NY | -- |
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What is the unique identification code assigned to Leonard Howard Boretz by the Centers for Medicare & Medicaid Services?
The Leonard Howard Boretz has been issued the NPI (National Provider Identifier) 1730177072. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Leonard Howard Boretz located?
The Leonard Howard Boretz is located at 485 N Ocean Ave, Patchogue, NY 117721762.
What is Leonard Howard Boretz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Leonard Howard Boretz's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1730177072 to Leonard Howard Boretz?
The Leonard Howard Boretz received its 1730177072 assignment from the Centers for Medicare & Medicaid Services on 2005-10-11.
When was the information regarding Leonard Howard Boretz most recently updated?
The details pertaining to the Leonard Howard Boretz, including its address, specialty, and other relevant information, were last refreshed on 2016-04-11.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH