Individual
MR. GIAN ANTONIO LEONZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN-BC, PMHNP-BC
Contact information
Practice address
161-10 JAMAICA AVE., 2ND FLOOR, JAMAICA, NY 11432
(718) 704-5488
(718) 704-5485
Mailing address
6601 BURNS ST APT 5P, REGO PARK, NY 11374
(917) 704-7690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
689712
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402198
NY
Other
Enumeration date
08/31/2016
Last updated
07/21/2022
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