Individual
IRAIS LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33-57 HARRISON ST, UNITED MEDICAL ASSOCIATES PC, JOHNSON CITY, NY 13790-2143
(607) 770-0025
(607) 729-3982
Mailing address
346 GRAND AVE, UNITED MEDICAL ASSOCIATES PC, JOHNSON CITY, NY 13790-2558
(607) 770-0025
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2109421
NY
207R00000X
Internal Medicine Physician
MD208521
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01832035
—
NY
Enumeration date
11/02/2005
Last updated
07/26/2023
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