Individual
DR. LEON TERRENZE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7404
(212) 423-8302
Mailing address
144 WAVERLY RD, SCARSDALE, NY 10583-6759
(914) 632-9442
(914) 632-1355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
111462
NY
2085R0202X
Diagnostic Radiology Physician
Primary
111462
NY
Other
Enumeration date
01/11/2007
Last updated
09/11/2025
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