Provider Demographics
NPI:1669781365
Name:SHARMA, LEENA (DDS, BDS, BSC, AEGD)
Entity type:Individual
Prefix:DR
First Name:LEENA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:DDS, BDS, BSC, AEGD
Other - Prefix:DR
Other - First Name:LEENA
Other - Middle Name:
Other - Last Name:RAJPAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS, BDS, BSC, AEGD
Mailing Address - Street 1:450 CENTRAL PARK AVE
Mailing Address - Street 2:SUITE # 3
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1078
Mailing Address - Country:US
Mailing Address - Phone:914-722-6500
Mailing Address - Fax:
Practice Address - Street 1:450 CENTRAL PARK AVE
Practice Address - Street 2:SUITE # 3
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-1078
Practice Address - Country:US
Practice Address - Phone:914-722-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056535122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY50 P77471OtherTHE STATE EDUCATION DEPARTMENT OF THE STATE OF NEW YORK