Individual
DR. LEONID A PORTUGEYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 BROADWAY, 4C, ELMWOOD PARK, NJ 07407-1842
(201) 791-7700
Mailing address
1577 E 17TH ST, 2B, BROOKLYN, NY 11230-6748
(718) 336-2873
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI0211051
NJ
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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