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Individual

SALVATORE A. LEO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1400 DEER PARK AVENUE, NORTH BABYLON, NY 11703
(631) 242-7272
(631) 242-7292
Mailing address
1400 DEER PARK AVE, NORTH BABYLON, NY 11703-1618
(631) 242-7272
(631) 242-7292

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35182
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
69122FW551
MEDICARE ID
NY
Enumeration date
11/27/2006
Last updated
02/29/2008
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