MR. Lee Barry Leavelle, PA

NPI #1316006588 in Mount Vernon, New York

Provider Information

NPI Number: 1316006588
Entity Type: Individual
Name: MR. Lee Barry Leavelle, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 6, 2006
Last Updated: Nov 5, 2013

Practice Location

Address: 107 W 4TH STREET
Address 2: MOUNT VERNON NEIGHBORHOOD HEALTH CTR
City: Mount Vernon
State: New York
ZIP Code: 10550
Phone: (914) 699-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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