Provider Demographics
NPI:1568599512
Name:LEIBOWITZ, ARTHUR I (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:I
Last Name:LEIBOWITZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 LINCOLN BLVD
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-4713
Mailing Address - Country:US
Mailing Address - Phone:516-379-3367
Mailing Address - Fax:516-379-3367
Practice Address - Street 1:254 LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-4713
Practice Address - Country:US
Practice Address - Phone:516-379-3367
Practice Address - Fax:516-379-3367
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6347103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical