Philip Leo, MD | |
11 Ralph Pl, Suite 213, Staten Island, NY 10304-4419 | |
(718) 556-9400 | |
Not Available |
Full Name | Philip Leo |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 48 Years |
Location | 11 Ralph Pl, Staten Island, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184619371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 146569 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Staten Island University Hospital | Staten island, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physicians Of University Hospital Pc | 5890877542 | 46 |
Entity Name | Physicians Of University Hospital Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417901323 PECOS PAC ID: 5890877542 Enrollment ID: O20080204000002 |
Mailing Address | Practice Location Address |
---|---|
Philip Leo, MD 11 Ralph Pl, Suite 213, Staten Island, NY 10304-4419 Ph: (718) 556-9400 | Philip Leo, MD 11 Ralph Pl, Suite 213, Staten Island, NY 10304-4419 Ph: (718) 556-9400 |
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