Individual
JOHN M LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SOUND SHORE PEDIATRICS, 110 LOCKWOOD AVENUE, NEW ROCHELLE, NY 10801
(718) 696-4060
Mailing address
619 WILCOX AVE, BRONX, NY 10465-1726
(718) 696-4060
(914) 235-3904
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
199121
NY
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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