Individual
DR. CHRISTIAN ELIS DE LEON CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1430 BROADWAY RM 1510, NEW YORK, NY 10018-3368
(787) 602-5494
Mailing address
3880 9TH AVE APT 5C, NEW YORK, NY 10034-1754
(787) 602-5494
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P138619
NY
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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