Provider Demographics
NPI:1922052802
Name:LEON, BARBARA A (DPM)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:LEON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 STAGE RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-3513
Mailing Address - Country:US
Mailing Address - Phone:845-783-4835
Mailing Address - Fax:845-782-7030
Practice Address - Street 1:138 STAGE RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-3513
Practice Address - Country:US
Practice Address - Phone:845-783-4835
Practice Address - Fax:845-782-7030
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004019-1213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0063284OtherGHI
NY06135661Medicaid
NY8488721-004OtherCIGNA
NY10084901M586OtherCDPHP
NYP465506OtherOXFORD HEALTH PLANS
NYP4350OtherBLUE CROSS BLUE SHIELD
NY547038OtherMVP
NY566640OtherUNITED HEALTHCARE
NY566640OtherUNITED HEALTHCARE
NY10084901M586OtherCDPHP
NY8488721-004OtherCIGNA