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General NPI Number Information
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NPI Number | 1376949222
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Entity Type | Organization
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Legal Business Name | ANDREW JOSEPH LEO, MD P.C.
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 66 HARNED RD
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City | COMMACK
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State | NY
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Zip | 11725-3527
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Country | US
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Telephone | 631-423-3897
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 371
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City | COMMACK
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State | NY
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Zip | 11725-0371
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Country | US
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Telephone | 631-423-3897
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Fax |
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Authorized Official
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Title or Position | PHYSICAN/OWNER
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Name | ANDREW JOSEPH LEO
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Credential | MD
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Telephone | 631-423-3897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 244795
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License Number State | NY
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