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Individual

PAUL J LEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
506 SIXTH STREET, THE METHODIST HOSPITAL, BROOKLYN, NY 11215
(718) 780-3159
(610) 617-6280
Mailing address
PO BOX 681- VAN BRUNT STATION, PARK SLOPE EMERGENCY PHYSICIAN SERVICES PC, BROOKLYN, NY 11215
(800) 666-2455
(610) 617-6280

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
186474
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01501977
NY
Enumeration date
06/21/2006
Last updated
07/08/2007
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