Organization
MARIE LAURA LEON M.D P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENA SIMPSON CPMSM (DIRECTOR)
(646) 680-2894
Entity
Organization
Contact information
Practice address
391 EASTERN PKWY, BROOKLYN, NY 11216-4153
(718) 613-1600
(718) 613-1666
Mailing address
441 9TH AVE, ACP CREDENTIALING OFFICE - 3RD FLOOR, NEW YORK, NY 10001-1623
(646) 680-2894
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
196577
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01682782
—
NY
Enumeration date
11/21/2006
Last updated
02/09/2016
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