Healthcare Provider Details

I. General information

NPI: 1306252556
Provider Name (Legal Business Name): DARCY GRAE LEON RN, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2014
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 WHITE PLAINS RD STE 215
TARRYTOWN NY
10591-5178
US

IV. Provider business mailing address

667 STONELEIGH AVE STE 202
CARMEL NY
10512-2455
US

V. Phone/Fax

Practice location:
  • Phone: 914-359-5841
  • Fax:
Mailing address:
  • Phone: 845-279-5908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number401918
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number672186
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: