Individual
DR. PAULINE LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6909 ROOSEVELT AVE, WOODSIDE, NY 11377-2933
(718) 639-1392
Mailing address
206 E 10TH ST, APT 5D, NEW YORK, NY 10003-7736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006968
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
926119
BLOCK VISION
NY
01
—
NY6968
EYEMED
NY
05
—
O2713202
—
NY
Enumeration date
10/16/2006
Last updated
09/14/2016
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