Provider Demographics
NPI:1700454071
Name:LEON, FRUMENTIA MELISSA (MD)
Entity type:Individual
Prefix:DR
First Name:FRUMENTIA
Middle Name:MELISSA
Last Name:LEON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 6TH STREET, DEPARTMENT OF ANESTHESIOLOGY
Mailing Address - Street 2:NEW YORK PRESBYTERIAN-BROOKLYN METHODIST HOSPITAL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215
Mailing Address - Country:US
Mailing Address - Phone:718-780-3970
Mailing Address - Fax:
Practice Address - Street 1:506 6TH ST, DEPARTMENT OF ANESTHESIOLOGY
Practice Address - Street 2:NEW YORK PRESBYTERIAN-BROOKLYN METHODIST HOSPITAL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215
Practice Address - Country:US
Practice Address - Phone:718-780-3970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2023-09-01
Deactivation Date:2022-12-01
Deactivation Code:
Reactivation Date:2023-09-01
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program