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1316006588
LEE BARRY LEAVELLE
MOUNT VERNON, NY
NPI
1316006588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 0003531)
Enumeration Date
2006-12-06
Last Update Date
2013-11-05
Business Address
Mr. LEE BARRY LEAVELLE PA
107 W 4TH STREET MOUNT VERNON NEIGHBORHOOD HEALTH CTR
MOUNT VERNON, NY 10550
Phone number: 914-699-7200
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Mailing Address
Mr. LEE BARRY LEAVELLE PA
107 WEST 4TH STREET MOUNT VERNON NEIGHBORHOOD HEALTH CENTER
MOUNT VERNON, NY 10550
Phone number: 914-699-7200
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