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Individual

DR. GREGORY E. LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3980 DUTCH HOLLOW RD., BEMUS POINT CENTRAL SCHOOL DISTRICT, BEMUS POINT, NY 14712-3980
(716) 386-4932
(716) 386-2376
Mailing address
PO BOX 468, BEMUS POINT CENTRAL SCHOOL DISTRICT, BEMUS POINT, NY 14712-0468
(716) 386-4932
(716) 386-2376

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010489
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01490486
NY
Enumeration date
10/14/2010
Last updated
10/14/2010
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