Healthcare Provider Details

I. General information

NPI: 1811909518
Provider Name (Legal Business Name): ERIN E LEONE PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 11/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 FEDERAL ST 2ND FLOOR
PITTSBURGH PA
15212-4769
US

IV. Provider business mailing address

192 PARKCLUB LANE SUITE 100
WILLIAMSVILLE NY
14221
US

V. Phone/Fax

Practice location:
  • Phone: 877-660-9777
  • Fax: 412-359-8055
Mailing address:
  • Phone: 716-204-1101
  • Fax: 716-204-8528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA053789
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: