Leon, Robert J.

Leon, Robert J. is an individual health care provider with primary practice located at 4260 Main St , Flushing NY 11355-4741. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Leon, Robert J. can be contacted via phone (718) 886-3450.

Contact Information

Primary practice address
4260 Main St Flushing NY 11355-4741
Phone: (718) 886-3450
Fax: (718) 886-7669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N001993 New York

Profile Details

NPI number 1902804826
LBN Legal business name Leon, Robert J.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902804826 NPPES
New York MEDICAID 00413272

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