DIANA P LEON

SQUARE CARE MEDICAL GROUP LLP

Dr DIANA P LEON is a female medical professional, specializing in Obstetrics/gynecology. She graduated in 2008 from Mount Sinai School Of Medicine Of City University Of New York.

Contact

SQUARE CARE MEDICAL GROUP LLP

191 HERRICKS RD
GARDEN CITY PARK
NY
110405236

Tel: 5167422224

DIANA P LEON Information

Npi 1649538554
Pac Id 2062654122
Professional Enrollment Id I20130820000642
Last Name LEON
First Name DIANA
Middle Name P
Suffix
Gender F
Credential
Medical School Name MOUNT SINAI SCHOOL OF MEDICINE OF CITY UNIVERSITY OF NEW YORK
Graduation Year 2008
Primary Specialty OBSTETRICS/GYNECOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SQUARE CARE MEDICAL GROUP LLP
Group Practice Pac Id 7012938434
Number Of Group Practice Members 76
Line 1 Street Address 191 HERRICKS RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GARDEN CITY PARK
State NY
Zip Code 110405236
Phone Number 5167422224
Hospital Affiliation Ccn 1 330393
Hospital Affiliation Lbn 1 SUNY/STONY BROOK UNIVERSITY HOSPITAL
Hospital Affiliation Ccn 2 330185
Hospital Affiliation Lbn 2 JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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