Provider Demographics
NPI:1477166254
Name:LEONG, MARIA (CD(DONA))
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:LEONG
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 AVENUE C
Mailing Address - Street 2:
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-1028
Mailing Address - Country:US
Mailing Address - Phone:862-228-2619
Mailing Address - Fax:
Practice Address - Street 1:96 AVENUE C
Practice Address - Street 2:
Practice Address - City:HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-1028
Practice Address - Country:US
Practice Address - Phone:862-228-2619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula