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Individual

DR. MARIE LAURA LEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2832 LINDEN BLVD, BROOKLYN, NY 11208-5132
(718) 240-2000
(718) 240-2260
Mailing address
441 9TH AVE, CREDENTIALING 3RD FL, NEW YORK, NY 10001-1623
(646) 680-2894
(516) 542-5556

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
196577
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01682782
NY
Enumeration date
10/26/2006
Last updated
12/07/2015
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