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Contact Information

JOSE G LEON
3612 36TH AVE
ASTORIA, NY11106-1334
 Phone: 718-819-8623
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOSE G LEON · (Male)

NPI # 1336889997
Status Active
Credentials
Entity Individual
Enumeration date 03/31/2022
Last updated 03/31/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 886581
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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