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Individual

LEONARD ROY KRILOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
120 MINEOLA BLVD, SUITE 210, MINEOLA, NY 11501-4073
(516) 663-9570
(516) 663-3793
Mailing address
222 STATION PLZ N, SUITE 611, MINEOLA, NY 11501-3808
(516) 663-2532
(516) 663-2233

Taxonomy

Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
159137
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01359122
NY
Enumeration date
07/22/2006
Last updated
10/24/2022
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