Individual provider · Type 1 NPI

Emma Leatham, PA-C

Medical Physician Assistant · Brockport, NY

NPI number 1043769326 Active

Practice location

156 West Ave
Brockport, NY 14420-1229

Fax (525) 637-5626

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298

Other practice locations

  • 22407 Holzwarth Rd, Spring, TX 77389-1933 · (346) 674-4000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA15983 (TX)
Medical Physician Assistant Primary 363AM0700X020181 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1043769326

Emma Leatham, PA-C's National Provider Identifier is 1043769326, issued on Sep 27, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brockport, NY. The record was last updated on Feb 17, 2025.