Basic Information
| Provider Information | |||||||||
| NPI: | 1144535725 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KROWSOSKI | ||||||||
| FirstName: | LEANDRA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 WOODS RD | ||||||||
| Address2: | TAYLOR PAVILION, SUITE E-144 | ||||||||
| City: | VALHALLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105951530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9144937000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 WOODS RD STE E-144 | ||||||||
| Address2: | |||||||||
| City: | VALHALLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105951530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9144937000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2010 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MT197886 | PA | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0102X | MD455147 | PA | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 2086S0102X | 289161 | NY | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 2086S0127X | MD455147 | PA | N | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery | 2086S0127X | 289161 | NY | Y | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery |
No ID Information.