Active NPIIndividual providerSole proprietor

Vincent Deleon, PA

Physician Assistant in Astoria, New York

NPI Number1790129542
Practice location
2510 30TH Ave, Astoria, NY 11102-2418
Fax
—
Last updated
October 5, 2020

Vincent Deleon is a Physician Assistant based in Astoria, NY. Vincent Deleon practices in Astoria, NY and has the professional credentials of PA. The NPI Number for Vincent Deleon is 1790129542 and holds a License No. 1110030 (NY). The current practice location address for Vincent Deleon is 2510 30TH Ave, Astoria, NY 11102-2418 and can be reached out via phone at 718-932-1000.

Provider Profile Details

NPI Number
1790129542
Provider Name
Vincent Deleon
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2510 30TH Ave, Astoria, NY 11102-2418
Phone Number
718-932-1000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 23, 2013
Last Update Date
October 5, 2020
Certification Date
October 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2510 30TH Ave
Astoria, NY 11102-2418
Zip
11102-2418
Phone Number
718-932-1000
Astoria, NY 11102Get directions →

Provider Business Mailing Address Details

Address
2510 30TH Ave
Astoria, NY 11102-2418
City
Astoria
State
NY
Zip
11102-2418
Phone Number
718-932-1000

License Information

License Number (1)
1110030
License State (1)
NY
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
016542
License State (2)
NY
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Vincent Deleon, PA?

The NPI number of Vincent Deleon, PA is 1790129542. It was assigned on April 23, 2013 and is currently active in the NPPES registry.

What is the specialty of Vincent Deleon, PA?

Vincent Deleon, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 1110030.

Where does Vincent Deleon, PA practice?

The practice location is 2510 30TH Ave, Astoria, NY 11102-2418. The office can be reached at 718-932-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790129542 directly on the NPPES registry website.

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