Individual
DR. MARYANN LEONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
627 BROADWAY, SUITE MAIDAT, MASSAPEQUA, NY 11758-5031
(516) 541-7883
Mailing address
160 BILTMORE BLVD, MASSAPEQUA, NY 11758-7246
(516) 798-5357
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012392
NY
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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