Individual
DR. BRYAN ERIC LEADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2115 W GENESEE STREET RD, AUBURN, NY 13021-9435
(315) 252-5789
Mailing address
40 ELM ST, AUBURN, NY 13021-2119
(315) 730-8948
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X001207-1
NY
Other
Enumeration date
11/01/2010
Last updated
08/10/2011
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