# MARTIN L. LEIB MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255593380
- **Authorized official:** MARTIN L. LEIB M.D (DIRECT OWNER)
- **Authorized official phone:** (212) 305-2303

## Contact information

- **Practice address:** 635 W 165TH ST, SUITE 230, NEW YORK, NY 10032-3724
- **Practice address phone:** (212) 305-2303
- **Mailing address:** 635 W 165TH ST, SUITE 230, NEW YORK, NY 10032-3724
- **Mailing address phone:** (212) 305-2303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 124928 | NY | Yes |

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 03/05/2013