Individual
TARA LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3429 LONG SHADOW DR, BALDWINSVILLE, NY 13027-4243
(315) 415-5191
(315) 415-5191
Mailing address
3429 LONG SHADOW DR, BALDWINSVILLE, NY 13027-4243
(315) 415-5191
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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