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General NPI Number Information
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NPI Number | 1750687059
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Entity Type | Individual
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Provider Name | LEYDA PENNYNA CALLEJAS M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/03/2011
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 760 BROADWAY STE 2C320
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City | BROOKLYN
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State | NY
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Zip | 11206-5317
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Country | US
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Telephone | 718-963-8207
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Fax | 718-963-8753
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Provider Business Mailing Address
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Address Line | 760 BROADWAY DEPT OF
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City | BROOKLYN
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State | NY
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Zip | 11206-5317
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Country | US
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Telephone | 718-963-5805
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Fax | 718-963-8753
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 278322-1
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License Number State | NY
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