Organization
VAIL HEALTHCARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL DELEON MD (PRESIDENT/CEO)
(347) 566-0515
Entity
Organization
Contact information
Practice address
1070 SOUTHERN BLVD, BRONX, NY 10459-3268
(347) 903-3072
Mailing address
96 LINWOOD PLZ # 410, FORT LEE, NJ 07024-3701
(201) 681-5066
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
186141
NY
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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