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NPI Code Detail

MEDICARE: MISS LEAH MARIE WASHBURN P.A.

MEDICARE: MISS LEAH MARIE WASHBURN P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant016390NY

General Provider Information

NPI Number : 1760728158
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LEAH MARIE WASHBURN P.A.
Provider Business Mailing Address
First Line : 60 CASTLEWOOD DR
Second Line :
City : CHEEKTOWAGA
State : NY
Zip : 14227-2615
Country : US
Telephone Number : 716-998-9865
Fax Number :
Provider Business Practice Location Address
First Line : 1 JOHN JAMES AUDUBON PKWY
Second Line :
City : AMHERST
State : NY
Zip : 14228-1143
Country : US
Telephone Number : 716-204-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2012
Last Update Date : 12/04/2025

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Directions to “ MISS LEAH MARIE WASHBURN P.A.” Practice Location

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