Provider Demographics
NPI:1154367886
Name:BRANCATO, LENORE J (MD)
Entity type:Individual
Prefix:DR
First Name:LENORE
Middle Name:J
Last Name:BRANCATO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1044 NORTHERN BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-1514
Mailing Address - Country:US
Mailing Address - Phone:516-484-6880
Mailing Address - Fax:516-484-6882
Practice Address - Street 1:1044 NORTHERN BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576-1514
Practice Address - Country:US
Practice Address - Phone:516-484-6880
Practice Address - Fax:516-484-6882
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2021-03-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY167757207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY113662047OtherCIGNA
NYP1090151OtherOXFORD
NY113662047OtherEMPIRE PLAN
NY167757OtherVYTRA
NY346AG1OtherEMPIRE BC BS
NY113662047OtherUNITED HEALTHCARE
NY01839445Medicaid
NY1799286OtherGHI
NY225818POtherHIP
NY5C3722OtherHEALTHNET
NY1141896OtherAETNA
NYP1090151OtherOXFORD
NY225818POtherHIP