Healthcare Provider Details

I. General information

NPI: 1710807524
Provider Name (Legal Business Name): LEON NP FAMILY HEALTH CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 BELLEMEADE AVE
SMITHTOWN NY
11787-1801
US

IV. Provider business mailing address

23 BELLEMEADE AVE
SMITHTOWN NY
11787-1801
US

V. Phone/Fax

Practice location:
  • Phone: 646-236-5620
  • Fax:
Mailing address:
  • Phone: 646-236-5620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA LEON
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 631-816-4792