Individual
MS. ADA LISETTE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
49 WILMONT TURN, CORAM, NY 11727-1037
(917) 513-1386
Mailing address
49 WILMONT TURN, CORAM, NY 11727-1037
(917) 513-1386
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F335257
NY
Other
Enumeration date
10/16/2008
Last updated
08/28/2013
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