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Individual

GEORGE DE LEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1010 5TH AVE APT 14A, NEW YORK, NY 10028-0130
(917) 538-1159
Mailing address
1010 5TH AVE APT 14A, NEW YORK, NY 10028-0130
(917) 538-1159

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002923-01
NY

Other

Enumeration date
11/01/2022
Last updated
11/01/2022
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