Provider Demographics
NPI:1003493131
Name:LEON, ARLETTE SABINE
Entity Type:Individual
Prefix:
First Name:ARLETTE
Middle Name:SABINE
Last Name:LEON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 VANDERBILT AVE
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-7318
Mailing Address - Country:US
Mailing Address - Phone:631-526-1288
Mailing Address - Fax:
Practice Address - Street 1:13 VANDERBILT AVE
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-7318
Practice Address - Country:US
Practice Address - Phone:631-526-1288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker