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Dr. Leonora Bonleon Decastro, MD
Specialist in Port Jervis, New York
NPI 1275548711

Leonora Bonleon Decastro is a Specialist based in Port Jervis, NY. Leonora Bonleon Decastro practices in Port Jervis, NY and has the professional credentials of MD. The NPI Number for Leonora Bonleon Decastro is 1275548711 and holds a License No. (New York).

The current practice location address for Leonora Bonleon Decastro is 6 Skinner St, Port Jervis, NY and can be reached out via phone at 845-856-7529 and via fax at 845-856-5656.

Location: 6 Skinner St, Port Jervis, NY, 12771-2225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275548711
Provider Name
Leonora Bonleon Decastro
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6 Skinner St, Port Jervis, NY, 12771-2225
Phone Number
845-856-7529
Fax Number
845-856-5656
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00662859 05 NY
institution
Provider Business Practice Location Address Details
Address
6 Skinner St
City
Port Jervis
State
New York
Zip
12771-2225
Phone Number
845-856-7529
Fax Number
845-856-5656
person
Provider Business Mailing Address Details
Address
6 Skinner St
City
Port Jervis
State
New York
Zip
12771-2225
Phone Number
845-856-7529
Fax Number
845-856-5656
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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