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GARWOOD EMERSON LECKBAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5320 MILITARY RD, SUITE 105, LEWISTON, NY 14092-2149
(716) 297-1686
(716) 297-1706
Mailing address
5320 MILITARY RD, SUITE 105, LEWISTON, NY 14092-2149
(716) 297-1686
(716) 297-1706

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
090865
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026277202
UNIVERA
NY
01
000497468004
COMMUNITY BLUE
NY
05
00144376
NY
01
2111703
INDEPENDENT HEALTH
NY
Enumeration date
01/10/2006
Last updated
07/08/2007
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