Individual provider · Type 1 NPI
Leonora Bonleon Decastro, MD
Specialist · Port Jervis, NY
NPI number
1275548711
Active
Practice location
6 Skinner St
Port Jervis, NY 12771-2225
Fax (845) 856-5656
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1275548711
Leonora Bonleon Decastro, MD's National Provider Identifier is 1275548711, issued on Jul 31, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jervis, NY. The record was last updated on Mar 7, 2023.