Individual
DR. JEFFREY S LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
631 COLLEGE AVE, STATEN ISLAND, NY 10302-2412
(718) 447-0607
Mailing address
631 COLLEGE AVE, STATEN ISLAND, NY 10302-2412
(718) 447-0607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
L040108
NY
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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