Individual
ALEXA LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 MONTAUK HWY STE S, WEST ISLIP, NY 11795-4420
(631) 707-3780
Mailing address
500 MONTAUK HWY STE S, WEST ISLIP, NY 11795-4420
(631) 707-3780
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023956
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
05/08/2026
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