Individual
DR. JARED ADAM LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
213 HALLOCK RD, SUITE 4B, STONY BROOK, NY 11790-3000
(631) 689-1000
(631) 444-0885
Mailing address
213 HALLOCK RD, SUITE 4B, STONY BROOK, NY 11790-3000
(631) 689-1000
(631) 444-0885
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010577
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161656487
UNITED HEALTHCARE
NY
01
—
3354694
AETNA
NY
01
—
5C4995
LANDMARK
NY
01
—
656214
ACN
NY
01
—
837174
MPN
NY
01
—
AA72409
MDNY
NY
01
—
C10577-7
WORKER'S COMPENSATION
NY
01
—
JL0X6G0320
BLUE CROSS BLUE SHEILD
NY
01
—
P3175055
OXFORD
NY
Enumeration date
03/30/2007
Last updated
05/22/2013
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