GRIGORY LEONTYEV, MD
Radiology at Park Ave, Rockville Centre, NY

License number
New York 228112-1
Category
Radiology
Type
Surgery
Address
Address
3304 Park Ave, Rockville Centre, NY 11572
Phone
(516) 270-2126
(516) 255-2072 (Fax)
National Provider ID: 1346322054
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about GRIGORY LEONTYEV at bizstanding.com

GRIGORY LEONTYEV MEDICAL, PC

3304 Park Ave, Oceanside, NY 11572

Status:
Inactive
Inactive reason:
Dissolution
Registration:
Nov 12, 2004
Inactive since:
Dec 26, 2007
State ID:
3125060
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Greg Leontyev, 3304 Park Ave, Oceanside, NY 11572 (Physical)

Professional information

Grigory Leontyev Photo 1

Dr. Grigory Leontyev, Oceanside NY - MD (Doctor of Medicine)
Specialties:
General Surgery
Address:
3304 Park Ave, Oceanside 11572
(516) 270-2126 (Phone), (516) 255-2072 (Fax)
Procedures:
Tracheal Surgery
Conditions:
Cerebrospinal Fluid Leak (CSF Leak)
Languages:
English

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