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Individual

LEONARD J EMMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1775 RICHMOND AVE, STATEN ISLAND, NY 10314
(914) 305-4633
(914) 305-5587
Mailing address
PO BOX 141284, STATEN ISLAND, NY 10314
(914) 305-4633
(914) 305-5587

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
158738
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00979075
NY
Enumeration date
08/31/2006
Last updated
11/30/2010
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