Individual
MR. LEO MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2992
Mailing address
1303 SHERWOOD AVE, NORTH TONAWANDA, NY 14120-3520
(716) 816-2992
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001547-01
NY
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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