Individual
BEA GENEVIEVE AGUSTIN LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7404
(212) 423-6271
Mailing address
1952 1ST AVE APT 7D, NEW YORK, NY 10029-6413
(360) 932-4284
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
311431
NY
Other
Enumeration date
07/10/2018
Last updated
02/01/2024
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