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Organization

ANDREW LEO MD PC

Active
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Organization

ANDREW LEO MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW J LEO MD (MD)
(631) 361-5302
Entity
Organization

Contact information

Practice address
290 E MAIN ST STE 200, SMITHTOWN, NY 11787-2916
(631) 361-5302
(631) 361-8607
Mailing address
290 E MAIN ST STE 200, SMITHTOWN, NY 11787-2916
(631) 361-5302
(631) 361-8607

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XS0106X
Orthopaedic Hand Surgery Physician

Other

Enumeration date
07/01/2010
Last updated
07/01/2010
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