Leonard A Defazio, Jr, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X006941 Issued in NY

Practice address

4184 Seneca St
West Seneca, NY 14224-3051

Phone

(716) 674-0434

NPI assigned

May 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841491784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 POTTER AVE",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4184 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243051",
            "telephone_number": "716-674-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFAZIO, JR",
        "first_name": "LEONARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S. Clifford, MD
• Rachael Davis
• Sarah Lynn Davis, PHARM.D
• Lisa Olson Davoli, MS
• John David Deangelis
• Alissa Defini
• Karin Ann Del Valle, MS, LMHC
• Delta OB-GYN PLLC
• Brianna Demarco, PT, DPT
• Kenneth Demarzio, OTR

• Chiropractor in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.