Provider Demographics
NPI:1598275786
Name:VULIS, LEON (PHARMD)
Entity Type:Individual
Prefix:
First Name:LEON
Middle Name:
Last Name:VULIS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LEON
Other - Middle Name:
Other - Last Name:VULIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:6830 HARROW ST
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5158
Mailing Address - Country:US
Mailing Address - Phone:646-731-4706
Mailing Address - Fax:
Practice Address - Street 1:6830 HARROW ST
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5158
Practice Address - Country:US
Practice Address - Phone:646-731-4706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY063224183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist