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Individual

MS. ANN M LEITTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRC

Contact information

Practice address
2128 ELMWOOD AVENUE, BUFFALO, NY 14207-1910
(716) 874-4500
(716) 874-8145
Mailing address
2128 ELMWOOD AVENUE, BUFFALO, NY 14207-1910
(716) 874-4500
(716) 874-8145

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000670011001
COMMUNITY BLUE STD HMO
01
00011249902
ASO
01
000670011001
CHP FHP 201
01
000733832001
COMMUNITY CARE
05
01465154
NY
01
040511000063
FIDELIS FAMILY HEALTH PLU
01
1600573
GROUP HEALTH INS PPO CBP
01
7400120
AETNA
Enumeration date
06/27/2006
Last updated
07/08/2007
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