Individual
DEBORAH LEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
29 RIDGE RD, SMITHTOWN, NY 11787-2505
(631) 979-8728
Mailing address
29 RIDGE ROAD, SMITHTOWN, NY 11877-2509
(631) 979-8728
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008395-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008395-1
NYS LICENCE P.A.
NY
Enumeration date
02/29/2008
Last updated
02/29/2008
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