| NPI | 1497237036 |
|---|---|
| Former Legal Business Name | LEO VIGNE MD PC |
| Doing Business As | LEO VIGNE MD PC |
| Entity Type | Organization |
| Authorized Contact | LEO GARY BONILLA President 347-374-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NY 207239-1) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2024-01-04 |