Dr. Jose S Leon Jr., MD
Internal Medicine in Northport, NY. Individual provider (NPI-1).
NPI number1962494591
StatusActive
Last updated in NPPESApr 15, 2010
Details
- NPI
- 1962494591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jose S Leon Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2005
- Last updated
- Apr 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 205929 | NY | Yes |
Practice location
108 Scudder PlNorthport, NY 11768-3025
Phone 631-757-0826
Mailing address
108 Scudder PlNorthport, NY 11768-3025
Phone 631-757-0826
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