Individual
ANGELA MARIE LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1717 86TH ST, BROOKLYN, NY 11214-2817
(718) 331-3122
Mailing address
1717 86TH ST, BROOKLYN, NY 11214-2817
(718) 331-3122
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
251544-1
NY
207N00000X
Dermatology Physician
OT011311
PA
Other
Enumeration date
02/11/2008
Last updated
01/22/2010
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