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NPI Code Detail

MEDICARE: MS. REBECCA M LEONG RPH

MEDICARE: MS. REBECCA M LEONG RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist035467-1NY

General Provider Information

NPI Number : 1891853438
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA M LEONG RPH
Provider Business Mailing Address
First Line : 39 WILLOW WOOD DR
Second Line :
City : EAST SETAUKET
State : NY
Zip : 11733-3311
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 PATRIOTS RD
Second Line :
City : STONY BROOK
State : NY
Zip : 11790-3318
Country : US
Telephone Number : 631-444-8786
Fax Number : 631-444-8787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 07/08/2007

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