Individual
ALFREDO REGODON DE LEON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2086 E 13TH ST, APT 2, BROOKLYN, NY 11229-3335
(718) 676-0006
Mailing address
2086 E 13TH ST, APT 2, BROOKLYN, NY 11229-3335
(718) 676-0006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/21/2014
Last updated
05/06/2014
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