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Individual

PATTI L LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
5500 MAIN ST STE 102, WILLIAMSVILLE, NY 14221-6737
(716) 833-2020
(716) 833-3854
Mailing address
3364 SHERIDAN DR, AMHERST, NY 14226-1439
(716) 833-2020
(716) 833-3854

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004369-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00025287602
UNIVERA
NY
05
00885323
NY
Enumeration date
04/11/2006
Last updated
10/16/2020
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