Healthcare Provider Details

I. General information

NPI: 1609576735
Provider Name (Legal Business Name): PIER PASQUALE LEONE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2023
Last Update Date: 08/24/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MOUNT SINAI HOSPITAL-ONE GUSTABE L. LEVY PLACE
NEW YORK NY
10029
US

IV. Provider business mailing address

1510 LEXINGTON AVENUE APT. 10M
NEW YORK NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-3419
  • Fax: 212-534-2845
Mailing address:
  • Phone: 929-523-7680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberP119728
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: