| Doctor Name: | PETER LEONG |
| NPI Number: | 1841446580 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 202307 |
| Business Practice Address: | 50 Irving St Nw Washington, DC - 204228000 |
| Business Phone Number: | 2027458000 |
| Business Fax Number: | |
| Mailing Address: | 8544 Bell Blvd, QUEENS VILLAGE |
| State: | NY |
| Postal Code: | 114271431 |
| Phone Number: | 2122015745 |
| Fax Number: | |
| NPI Enumeration Date: | 08/13/2008 |
| NPI Last Update Date: | 06/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084A0401X |
| License Number: | 202307 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |