Individual
MS. JULIE ANNE LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 341-6214
(585) 341-0215
Mailing address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 341-6214
(585) 341-0215
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003377
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03131757
—
NY
Enumeration date
07/18/2006
Last updated
03/11/2011
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