Provider Demographics
NPI:1841378262
Name:LEBINGER, MARTIN B (MD)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:B
Last Name:LEBINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1578 WILLIAMSBRIDGE RD 3E/A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-6265
Mailing Address - Country:US
Mailing Address - Phone:718-518-0222
Mailing Address - Fax:718-518-0222
Practice Address - Street 1:1578 WILLIAMSBRIDGE RD 3E/A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-6265
Practice Address - Country:US
Practice Address - Phone:718-518-0222
Practice Address - Fax:718-518-0222
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1315782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10A191Medicare ID - Type Unspecified