Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 70011788 | NY |
N | 111NN1001X | Nutrition | 70011788 | NY |
NPI | 1063744027 |
---|---|
Provider Name | Dr. Dennis Michael Lesniak |
First Address | Buffalo, NY 14203-2108 |
Second Address | Buffalo, NY 14203-2108 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2010 |
Last Update Date | 15/08/2016 |