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Individual

JOSE G LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3612 36TH AVE, ASTORIA, NY 11106-1334
(718) 819-8623
Mailing address
4001 LITTLE NECK PKWY APT 7A, LITTLE NECK, NY 11363-1706
(347) 898-5733

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
886581
NY

Other

Enumeration date
03/31/2022
Last updated
03/31/2022
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