IndividualActive
Andrew Leder, D.D.S.
NPI 1619193323 · Periodontics · New York, NY
Provider details
- NPI number
- 1619193323
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 043721 (NY)
Specialties & taxonomies
Dental Providers
Practice location
30 Central Park S Rm 14c
New York, NY 10019-1628
Phone: (212) 755-6818
Fax: (212) 486-3089
Approximate (ZIP-level) locationGet directions
Mailing address
370 E 76th St Apt A401
New York, NY 10021-2548
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.