Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mario Leon, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1508074170

Mario Leon, PHYSICIANASSISTANT is a Physician Assistant in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

800 Poly Pl
Brooklyn, NY 11209-7104
Phone: (718) 836-6630
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011824-1 (NY)

Record details

NPI number1508074170
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 18, 2007
Last updated in NPPESFebruary 4, 2019

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