National Provider Identifier
Emma Leatham, PA-C
Emma Leatham, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Brockport, NY and a listed phone number of (585) 758-7557.
Profile Overview
- NPI
- 1043769326
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- September 27, 2016
- Last Updated
- February 17, 2025
Practice Location
- 156 West Ave
- Brockport, NY 14420-1229
Phone: (585) 758-7557
Mailing Address
- 11511 Shadow Creek Pkwy
- Pearland, TX 77584-7298
Specialties
- Medical Physician Assistant (363AM0700X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1043769326
- Entity Type
- Individual
- Last Name
- Leatham
- First Name
- Emma
- Credential
- PA-C
- Mailing Street Address
- 11511 Shadow Creek Pkwy
- Mailing City
- Pearland
- Mailing State
- TX
- Mailing ZIP Code
- 77584-7298
- Mailing Country
- US
- Mailing Phone
- (713) 442-0000
- Practice Street Address
- 156 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1229
- Practice Country
- US
- Practice Phone
- (585) 758-7557
- Practice Fax
- (525) 637-5626
- Enumeration Date
- September 27, 2016
- Last Updated
- February 17, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 17, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)