Individual
LEANNE ASHLEY KOZACZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 CENTRE DR, SUITE A, ORCHARD PARK, NY 14127-4100
(716) 667-2294
(716) 667-2272
Mailing address
40 CENTRE DR, SUITE A, ORCHARD PARK, NY 14127-4100
(716) 667-2294
(716) 667-2272
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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