Leidenfrost, Corey Mark

Leidenfrost, Corey Mark is an individual health care provider with primary practice located at 620 Tronolone Pl , Niagara Falls NY 14301-1910. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Leidenfrost, Corey Mark can be contacted via phone (716) 205-0825.

Contact Information

Primary practice address
620 Tronolone Pl Niagara Falls NY 14301-1910
Phone: (716) 205-0825
Fax: (716) 205-0824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1235289083
LBN Legal business name Leidenfrost, Corey Mark
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235289083 NPPES
New York Other 00030241501 UNIVERA
New York Other 000506354005 UNIVERA

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