Individual
PAOLA DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 E 38TH ST, NEW YORK, NY 10016-2708
(212) 731-5678
Mailing address
6629 BROADWAY APT 7F, BRONX, NY 10471-2020
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F311934-01
NY
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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