GRIGORY LEONTYEV

OCEANSIDE, NY
NPI1346322054
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: NY  228112-1)
Enumeration Date2006-10-20
Last Update Date2007-07-08
Business Address
-- GRIGORY LEONTYEV MD
3304 PARK AVE
OCEANSIDE, NY 11572-4352
Phone number: 516-270-2126
Mailing Address
-- GRIGORY LEONTYEV MD
3304 PARK AVE
OCEANSIDE, NY 11572-4352
Phone number: 516-270-2126