Individual
DR. JOHN MAX LEISTNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
276-280 ROBINSON ST, BINGHAMTON, NY 13904-1659
(607) 722-2769
Mailing address
31 STARWOOD DRIVE, CHEEKTOWAGA, NY 14227
(716) 903-7847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
317950
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2017
Last updated
01/17/2023
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