Provider Demographics
NPI:1184748931
Name:LEONARDOS, MARINA JEAN (PA)
Entity type:Individual
Prefix:MS
First Name:MARINA
Middle Name:JEAN
Last Name:LEONARDOS
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:83 MAIDEN LANE 6TH FLOOR
Mailing Address - Street 2:AHRC HEALTHCARE INC. D/B/A. ACCESS COMMUNITY HEALTH CTR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4812
Mailing Address - Country:US
Mailing Address - Phone:212-780-2378
Mailing Address - Fax:212-505-0724
Practice Address - Street 1:83 MAIDEN LANE 6TH FLOOR
Practice Address - Street 2:AHRC HEALTHCARE INC. D/B/A. ACCESS COMMUNITY HEALTH CTR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4812
Practice Address - Country:US
Practice Address - Phone:212-780-2378
Practice Address - Fax:212-505-0724
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2010-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY003250363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical