# MARIE LAURA LEON M.D P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750456406
- **Authorized official:** MARLENA SIMPSON CPMSM (DIRECTOR)
- **Authorized official phone:** (646) 680-2894

## Contact information

- **Practice address:** 391 EASTERN PKWY, BROOKLYN, NY 11216-4153
- **Practice address phone:** (718) 613-1600
- **Practice address fax:** (718) 613-1666
- **Mailing address:** 441 9TH AVE, ACP CREDENTIALING OFFICE - 3RD FLOOR, NEW YORK, NY 10001-1623
- **Mailing address phone:** (646) 680-2894
- **Mailing address fax:** (516) 542-5556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 196577 | NY | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 02/09/2016