Individual
JENNIFER LEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 E 98TH ST FL 12, NEW YORK, NY 10029-6501
(212) 241-8035
(212) 348-2474
Mailing address
1 GUSTAVE L.LEVY PLACE, BOX 1104, NEW YORK, NY 10029
(212) 987-3100
(212) 731-5210
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
243325
NY
207RI0008X
Hepatology Physician
Primary
243325
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03377442
—
NY
Enumeration date
03/26/2009
Last updated
05/10/2012
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