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Dr. Jared Adam Leon, DC
Chiropractor in Stony Brook, New York
NPI 1316067424

Jared Adam Leon is a Chiropractor based in Stony Brook, NY. Jared Adam Leon practices in Stony Brook, NY and has the professional credentials of DC. The NPI Number for Jared Adam Leon is 1316067424 and holds a License No. X010577 (New York).

The current practice location address for Jared Adam Leon is 213 Hallock Rd, Stony Brook, NY and can be reached out via phone at 631-689-1000 and via fax at 631-444-0885.

Location: 213 Hallock Rd, Stony Brook, NY, 11790-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316067424
Provider Name
Jared Adam Leon
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
213 Hallock Rd, Stony Brook, NY, 11790-3000
Phone Number
631-689-1000
Fax Number
631-444-0885
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
161656487 01 NY UNITED HEALTHCARE
5C4995 01 NY LANDMARK
837174 01 NY MPN
656214 01 NY ACN
P3175055 01 NY OXFORD
AA72409 01 NY MDNY
3354694 01 NY AETNA
JL0X6G0320 01 NY BLUE CROSS BLUE SHEILD
C10577-7 01 NY WORKER'S COMPENSATION
institution
Provider Business Practice Location Address Details
Address
213 Hallock Rd
City
Stony Brook
State
New York
Zip
11790-3000
Phone Number
631-689-1000
Fax Number
631-444-0885
person
Provider Business Mailing Address Details
Address
213 Hallock Rd
City
Stony Brook
State
New York
Zip
11790-3000
Phone Number
631-689-1000
Fax Number
631-444-0885
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X010577 (New York)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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