Individual
JOHN LEDDY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 FARBER HALL, 3435 MINS STREET, BUFFALO, NY 14214-8001
(716) 829-3670
Mailing address
160 FARBER HALL, 3435 MINS STREET, BUFFALO, NY 14214-8001
(716) 829-3670
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
174724
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01132250
—
NY
Enumeration date
02/23/2006
Last updated
07/08/2007
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