# SOPHIA V. LEONIDA, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stationhouse Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508241076
- **Authorized official:** MS. SUSAN MELITO (OFFICE MANAGER)
- **Authorized official phone:** (203) 375-9350

## Contact information

- **Practice address:** 2228 BLACK ROCK TPKE, SUITE 211, FAIRFIELD, CT 06825-3237
- **Practice address phone:** (203) 375-9350
- **Practice address fax:** (203) 375-8013
- **Mailing address:** 2228 BLACK ROCK TPKE, SUITE 211, FAIRFIELD, CT 06825-3237
- **Mailing address phone:** (203) 375-9350
- **Mailing address fax:** (203) 375-8013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 070195 | CO | Yes |

## Other

- **Enumeration date:** 07/27/2015
- **Last updated:** 07/27/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004267383 | — | CT |