Individual provider · Type 1 NPI
Andrew Leder, DDS
Periodontics · New York, NY
NPI number
1619193323
Active
Practice location
30 Central Park S Rm 14C
New York, NY 10019-1628
Fax (212) 486-3089
Mailing address
370 E 76th St Apt A401
New York, NY 10021-2548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 043721 (NY) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1619193323
Andrew Leder, DDS's National Provider Identifier is 1619193323, issued on Apr 18, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.