National Provider Identifier
Corey Mark Leidenfrost, MA
Corey Mark Leidenfrost, MA is listed in the NPPES registry with a primary specialty of Counselor in Niagara Falls, NY and a listed phone number of (716) 205-0825.
Profile Overview
- NPI
- 1235289083
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- January 12, 2007
- Last Updated
- July 08, 2007
Practice Location
- 620 Tronolone Pl
- Niagara Falls, NY 14301-1910
Phone: (716) 205-0825
Mailing Address
- 525 Washington St
- Buffalo, NY 14203-1711
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1235289083
- Entity Type
- Individual
- Last Name
- Leidenfrost
- First Name
- Corey
- Middle Name
- Mark
- Credential
- MA
- Mailing Street Address
- 525 Washington St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1711
- Mailing Country
- US
- Mailing Phone
- (716) 856-4494
- Mailing Fax
- (716) 842-1277
- Practice Street Address
- 620 Tronolone Pl
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14301-1910
- Practice Country
- US
- Practice Phone
- (716) 205-0825
- Practice Fax
- (716) 205-0824
- Enumeration Date
- January 12, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)
- Other Identifiers
- 00030241501 (NY, Univera), 000506354005 (NY, Community Blue)