Individual
ANNETTE LEISTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1526 WALDEN AVE, CHEEKTOWAGA, NY 14225-4965
(716) 895-6700
(716) 895-0436
Mailing address
1526 WALDEN AVE, CHEEKTOWAGA, NY 14225-4965
(716) 895-6700
(716) 895-0436
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
276943-1
NY
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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