Leon, Walfredo J.

Leon, Walfredo J. is an individual health care provider with primary practice located at 450 Clarkson Ave Suite A, Brooklyn NY 11203-2056. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Leon, Walfredo J. can be contacted via phone (718) 270-1821.

Contact Information

Primary practice address
450 Clarkson Ave Suite A Brooklyn NY 11203-2056
Phone: (718) 270-1821
Fax: (718) 270-1733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301108970 Michigan
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 4301108970 Michigan
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 140366-1 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01076586A Indiana
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 81216 Georgia

Profile Details

NPI number 1881689313
LBN Legal business name Leon, Walfredo J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Oct 9th, 2019 - about 5 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 1881689313 NPPES
New York MEDICAID 00764705

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