Individual
DR. JACKY LEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
45 READE PLACE, POUGHKEEPSIE, NY 12601
(845) 454-8500
Mailing address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MB11737900
NJ
207L00000X
Anesthesiology Physician
Primary
312799
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2018
Last updated
12/02/2024
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