Doctor Name: | ELIZABETH ANNE LEISER |
NPI Number: | 1144576265 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F306078-1 |
Business Practice Address: | 274 W Girard Blvd Kenmore, NY - 14217 |
Business Phone Number: | 7168760790 |
Business Fax Number: | |
Mailing Address: | 274 W Girard Blvd, KENMORE |
State: | NY |
Postal Code: | 142171837 |
Phone Number: | 7168760790 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2012 |
NPI Last Update Date: | 07/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F306078-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |