Individual
SANDRA MICHELLE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
7636 113TH ST, APT 2G, FOREST HILLS, NY 11375-6513
(718) 487-4201
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430615
NY
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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