Jeffrey C. Leathersich Pa, Pllc

NPI #1528309317 in Rochester, New York

Provider Information

NPI Number: 1528309317
Entity Type: Organization
Organization Name: Jeffrey C. Leathersich Pa, Pllc
Primary Specialty: Dietary Manager
Enumeration Date: Mar 5, 2013
Last Updated: Mar 5, 2013

Practice Location

Address: 3300 MONROE AVE STE 345
City: Rochester
State: New York
ZIP Code: 14618-4625
Phone: (585) 381-9966

Authorized Official

Name: JEFFREY CHRISTIAN LEATHERSICH, PHYSICIAN ASSISTANT
Title: MANAGING MEMBER
Phone: (585) 748-1820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietary Manager	132700000X	Primary

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