Provider Demographics
NPI:1265760805
Name:KUZNIAR, LEAT (ND)
Entity type:Individual
Prefix:DR
First Name:LEAT
Middle Name:
Last Name:KUZNIAR
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ELLSWORTH ST
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1104
Mailing Address - Country:US
Mailing Address - Phone:201-757-5558
Mailing Address - Fax:
Practice Address - Street 1:366 PASSAIC AVE
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-2737
Practice Address - Country:US
Practice Address - Phone:201-790-7212
Practice Address - Fax:973-542-8292
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099-000017175F00000X
VT099.0000171175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT099.0000171OtherOFFICE OF PROFESSIONAL REGULATION