Provider Demographics
NPI:1508971151
Name:LEONARD, AMY R (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:R
Last Name:LEONARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:239 BOYLE RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SELDEN
Mailing Address - State:NY
Mailing Address - Zip Code:11784-1955
Mailing Address - Country:US
Mailing Address - Phone:631-698-0600
Mailing Address - Fax:631-698-2212
Practice Address - Street 1:239 BOYLE RD
Practice Address - Street 2:SUITE 7
Practice Address - City:SELDEN
Practice Address - State:NY
Practice Address - Zip Code:11784-1955
Practice Address - Country:US
Practice Address - Phone:631-698-0600
Practice Address - Fax:631-698-2212
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY239945208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics