Divagno, Leonardo Joseph
Divagno, Leonardo Joseph is an sole proprietor health care provider with primary practice located at 216 Route 17 North Ste 201 , Rochelle Park NJ 07662. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Divagno, Leonardo Joseph can be contacted via phone (201) 845-3535.Contact Information
Primary practice address
216 Route 17 North Ste 201
Rochelle Park NJ 07662
Phone: (201) 845-3535
Fax: (201) 845-4040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MA69173 | New Jersey |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MA69173 | New Jersey |
Profile Details
| NPI number | 1851392435 |
|---|---|
| LBN Legal business name | Divagno, Leonardo Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Nov 27th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851392435 | NPPES |
| Other | 2917787 | GHI | |
| MEDICAID | 8750009 | GHI | |
| Other | P2656071 | GHI |
Popular Providers
-
Huang, Michael S.
3084 State Rd. Route 27 Suite 5, Kendall Park NJ 08824 -
Koss, Jerome H
3003 New Hyde Park Road #406, New Hyde Park NY 11042 -
Shah, Ankur Raju
10012 101St Ave , Ozone Park NY 11416-2609 -
Levy, Stephen M.
10 James St Suite 130, Florham Park NJ 07932-1405 -
Johnson, Michael Norman
150 Lockwood Ave Suite 28, New Rochelle NY 10801 -
Khurana, Dheeraj J
270-05 76Th Ave Long Island Jewish Medical Center, New Hyde Park NY 11040 -
Perry-Bottinger, Lynne
140A Lockwood Ave , New Rochelle NY 10801-4920 -
Dhama, Bhupesh
2001 Marcus Ave Suite E-249, New Hyde Park NY 11042-1011