Provider Demographics
NPI:1760670681
Name:LEON CHIROPRACTIC METHOD & HEALTH SOLUTIONS, P.C.
Entity Type:Organization
Organization Name:LEON CHIROPRACTIC METHOD & HEALTH SOLUTIONS, P.C.
Other - Org Name:LEON CHIROPRACTIC METHOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTIC NEUROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:JEREMY
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:DC,DACNB
Authorized Official - Phone:631-751-4900
Mailing Address - Street 1:215 HALLOCK RD
Mailing Address - Street 2:SUITE 6B
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-3078
Mailing Address - Country:US
Mailing Address - Phone:631-751-4900
Mailing Address - Fax:631-751-4902
Practice Address - Street 1:215 HALLOCK RD
Practice Address - Street 2:SUITE 6B
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-3078
Practice Address - Country:US
Practice Address - Phone:631-751-4900
Practice Address - Fax:631-751-4902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010752111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty