Healthcare Provider Details

I. General information

NPI: 1114648722
Provider Name (Legal Business Name): LEANNE JEAN KAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3176 ABBOTT RD STE 500
ORCHARD PARK NY
14127-1069
US

IV. Provider business mailing address

2101 SPRUCE ST
NORTH COLLINS NY
14111-9701
US

V. Phone/Fax

Practice location:
  • Phone: 716-822-2117
  • Fax: 716-822-8165
Mailing address:
  • Phone: 716-337-3706
  • Fax: 716-337-2723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: