Individual
NATHANAEL LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 FIRST AVENUE, NYU LAGONE MEDICAL CENTER, NEW YORK, NY 10016
(212) 263-5506
Mailing address
9 ELDRIDGE ST, APT #6, NEW YORK, NY 10002-6221
(305) 924-5671
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
294920
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2015
Last updated
05/05/2020
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