Individual
MAURO LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
97 AMITY ST, BROOKLYN, NY 11201-6004
(718) 780-4847
(718) 780-4987
Mailing address
PO BOX 31218, HARTFORD, CT 06150-1218
(914) 328-4500
(845) 565-6057
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
191140
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01430280
—
NY
Enumeration date
02/21/2006
Last updated
07/08/2007
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