# LEBIAN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Purebred Athletics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316330053
- **Authorized official:** IAN HOGAN LMT (PRESIDENT)
- **Authorized official phone:** (518) 406-8788

## Contact information

- **Practice address:** 11 SOLAR DR, C, CLIFTON PARK, NY 12065-3402
- **Practice address phone:** (518) 406-8788
- **Mailing address:** 11 SOLAR DR, C, CLIFTON PARK, NY 12065-3402
- **Mailing address phone:** (518) 406-8788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 012126 | NY | Yes |
| 225700000X | Massage Therapist | 024220 | NY | — |
| 225700000X | Massage Therapist | 024782 | NY | — |
| 225700000X | Massage Therapist | 026344 | NY | — |

## Other

- **Enumeration date:** 03/05/2015
- **Last updated:** 04/11/2015