Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heather Leary

Individual provider Adult Health Nurse Practitioner · NPI 1760874390

Heather Leary is a Nurse Practitioner in West Seneca, New York. Qualified in 2014, 12 years ago. Practices with Southgate Medical Group LLP, a 32-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015

Practice location Address checks out

1026 Union Rd
West Seneca, NY 14224-3445
Phone: (716) 712-0851
Fax: (716) 712-0853
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F307080-1 (NY)

Record details

NPI number1760874390
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2015
Last updated in NPPESFebruary 18, 2015
Mailing address1026 Union Rd, West Seneca, NY 14224-3445

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southgate Medical Group Llp — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West Seneca