Individual
SHERRY WITHIAM LEITCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
415 TREMONT ST, N TONAWANDA, NY 14120-6135
(716) 689-1901
(716) 689-2238
Mailing address
415 TREMONT ST, N TONAWANDA, NY 14120-6135
(716) 689-1901
(716) 689-2238
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
202583-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01686915
—
NY
Enumeration date
01/26/2006
Last updated
07/08/2007
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