Organization
JEFFREY C. LEATHERSICH PA, PLLC
Active
Other names
New Genesis Center for Weight Loss and Cosmetic Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY CHRISTIAN LEATHERSICH PHYSICIAN ASSISTANT (MANAGING MEMBER)
(585) 748-1820
Entity
Organization
Contact information
Practice address
3300 MONROE AVE STE 345, ROCHESTER, NY 14618-4625
(585) 381-9966
(585) 381-7594
Mailing address
3300 MONROE AVE STE 345, ROCHESTER, NY 14618-4625
(585) 381-9966
(585) 381-7594
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
—
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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