Provider Demographics
NPI:1073701702
Name:ENDOCRINOLOGY, DIABETES AND OSTEOPOROSIS CONSULTANTS LLP
Entity Type:Organization
Organization Name:ENDOCRINOLOGY, DIABETES AND OSTEOPOROSIS CONSULTANTS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONAS
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIBOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-237-3636
Mailing Address - Street 1:770B MCLEAN AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3843
Mailing Address - Country:US
Mailing Address - Phone:914-237-3636
Mailing Address - Fax:914-237-6319
Practice Address - Street 1:770B MCLEAN AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3843
Practice Address - Country:US
Practice Address - Phone:914-237-3636
Practice Address - Fax:914-237-6319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194663207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWES751Medicare PIN
NYG07312Medicare UPIN