Provider Demographics
NPI:1306623558
Name:LEONARD, ALAN PALMER II (DC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:PALMER
Last Name:LEONARD
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1046 E SHORE DR
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1028
Mailing Address - Country:US
Mailing Address - Phone:607-592-2801
Mailing Address - Fax:
Practice Address - Street 1:5948 SYCAMORE CREEK DR
Practice Address - Street 2:
Practice Address - City:TRUMANSBURG
Practice Address - State:NY
Practice Address - Zip Code:14886-9488
Practice Address - Country:US
Practice Address - Phone:607-592-2801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX013756111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor