Individual provider · NPI-1
Dr. Joseph G. Leadon, M.D.
Radiology, Diagnostic Radiology · Fresh Meadows, NY
NPI number1881644326
StatusActive
Last updated in NPPESFeb 28, 2011
Details
- NPI
- 1881644326
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joseph G. Leadon
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2006
- Last updated
- Feb 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 169355-1 | NY | Yes |
Practice location
7107 Sutton Place, 2nd FloorFresh Meadows, NY 11365
Phone 718-380-2418 · Fax 718-535-7999
Mailing address
7107 Sutton Place2nd Floor
Fresh Meadows, NY 11365
Phone 718-380-2418 · Fax 718-535-7999
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