Individual
KENT S LEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
7002 RIDGE BLVD, BROOKLYN, NY 11209-1257
(718) 407-4174
Mailing address
4318 NEWTOWN RD APT 2F, ASTORIA, NY 11103-2207
(718) 510-6969
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86174778
NY
Other
Enumeration date
03/05/2024
Last updated
05/18/2024
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