Bidtah, Leah Ann

Bidtah, Leah Ann is an individual health care provider with primary practice located at 2565 Elmwood Ave , Kenmore NY 14217-1939. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bidtah, Leah Ann can be contacted via phone (716) 871-9883.

Contact Information

Primary practice address
2565 Elmwood Ave Kenmore NY 14217-1939
Phone: (716) 871-9883
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 010133-1 New York

Profile Details

NPI number 1184790958
LBN Legal business name Bidtah, Leah Ann
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2006
Last updated Jul 8th, 2007 - about 19 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 1184790958 NPPES
New York Other 010133-1 STATE LICENSE NUMBER

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