National Provider Identifier

Leah Vandenbosch, PA-C

Leah Vandenbosch, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 839-8000.

NPI 1013640564Williamsville, NYPhysician Assistant

Profile Overview

NPI
1013640564
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 01, 2022
Last Updated
July 01, 2022

Practice Location

  • 2350 Maple RD Ste 100
  • Williamsville, NY 14221-4080

Phone: (716) 839-8000

Mailing Address

  • 7230 Meadowview Dr
  • Lockport, NY 14094-6267

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1013640564
Entity Type
Individual
Last Name
Vandenbosch
First Name
Leah
Credential
PA-C
Mailing Street Address
7230 Meadowview Dr
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-6267
Mailing Country
US
Mailing Phone
(716) 255-0523
Practice Street Address
2350 Maple RD Ste 100
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-4080
Practice Country
US
Practice Phone
(716) 839-8000
Enumeration Date
July 01, 2022
Last Updated
July 01, 2022
Sex
Female
Sole Proprietor
No
Certification Date
July 01, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)