Individual
LEONARDO VANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
507 W 145TH ST, NEW YORK, NY 10031-5101
(646) 373-2753
(212) 582-0888
Mailing address
507 W 145 TH STREET, NEW YORK, NY 10031
(646) 373-2753
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2375861
NY
2084P0800X
Psychiatry Physician
25MA11148000
NJ
2084P0800X
Psychiatry Physician
D0092757
MD
2084P0802X
Addiction Psychiatry Physician
237586
NY
2084P0802X
Addiction Psychiatry Physician
25MA11148000
NJ
2084P0802X
Addiction Psychiatry Physician
D0092757
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2375861
LICENSE
NY
Enumeration date
03/14/2006
Last updated
09/25/2024
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