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Individual

DR. GABRIEL T LEONTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
(631) 224-8560
Mailing address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
(631) 376-4147

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
227501
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02396367
NY
01
153018
VYTRA HEALTHCARE
NY
01
2582729
AETNA/US HEALTHCARE
NY
01
75S631
BLUE CROSS BLUE SHIELD
NY
01
P00165413
RAILROAD MEDICARE
NY
Enumeration date
06/15/2005
Last updated
01/23/2012
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