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Individual

DR. STUART B. LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
8475 MAIN ST, BRIARWOOD, NY 11435-1624
(718) 657-8921
(718) 657-9650
Mailing address
8475 MAIN ST, BRIARWOOD, NY 11435-1624
(718) 657-8921
(718) 657-9650

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005513
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02387740
NY
01
03899K
MEDICARE-GHI
NY
01
PB076K9021
EMPIRE-MEDICARE
NY
Enumeration date
07/13/2005
Last updated
11/19/2009
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