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Leon K. Eisen, M.D.

in Elmhurst, NY. Individual provider (NPI-1).

NPI number1386650331
StatusActive
Last updated in NPPESNov 6, 2020

Details

NPI
1386650331
Entity type
Individual (NPI-1)
Name
Leon K. Eisen
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 31, 2006
Certification date
Nov 6, 2020
Last updated
Nov 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X 199580NYYes

Practice location

7901 Broadway
Room A1-9
Elmhurst, NY 11373-1329

Phone 718-334-4952 · Fax 718-334-4815

Mailing address

7901 Broadway
Room A1-9
Elmhurst, NY 11373-1329

Phone 718-334-4952 · Fax 718-334-4815

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