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Galia Theresa Austin-Leon

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NPI Number Detailed Information

Provider Information:

Name: Galia Theresa Austin-Leon
Gender: F
Provider License Number If Given: 216679-1

NPI Information:

NPI: 1225022742
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 5/6/2020

Provider Business Mailing Address:

Address: 18 SAINT MARKS AVE
Brooklyn, NY 11217
Phone Number: 9177567095
Fax Number:

Provider Business Practice Location Address:

Address: 4209 28TH ST
Long Island City, NY 11101
Phone Number: 6469397245
Fax Number:

Provider Taxonomy:

Primary: 208000000X
Secondary (if any):
State: NY

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