Provider Demographics
NPI:1407992340
Name:LEIBOWITZ, BARBARA J (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:J
Last Name:LEIBOWITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 E 68TH ST
Mailing Address - Street 2:SUITE 1110
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5718
Mailing Address - Country:US
Mailing Address - Phone:212-794-2581
Mailing Address - Fax:212-744-2286
Practice Address - Street 1:215 E 68TH ST
Practice Address - Street 2:SUITE 1110
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5718
Practice Address - Country:US
Practice Address - Phone:212-794-2581
Practice Address - Fax:212-744-2286
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY098976207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF96779Medicare UPIN
06M061Medicare ID - Type Unspecified