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

Ricardo Leon

Individual provider Physician Assistant · NPI 1396755583

Ricardo Leon is a Physician Assistant in Kingston, New York. Qualified in 2001, 25 years ago. Practices with Nuvance Health Medical Practice PC, a 575-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

105 Marys Ave
Kingston, NY 12401-5848
Phone: (845) 338-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 008394 (NY)

Record details

NPI number1396755583
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESNovember 1, 2016
Mailing address117 Marys Ave, Ste 101, Kingston, NY 12401-5849

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Nuvance Health Medical Practice Pc — 575 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

Other providers in Kingston