Individual
BRIAN LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 834-9200
Mailing address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 834-9200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
074942
NY
1041C0700X
Clinical Social Worker
078568
NY
Other
Enumeration date
09/04/2007
Last updated
08/16/2011
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