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Individual
MR. ELIOT LEBOW
Active
Individual
MR. ELIOT LEBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W., C.D.E.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078246
NY
174H00000X
Health Educator
21320600
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21320600
CERTIFICATION BOARD FOR DIABETES CARE AND EDUCATION
—
Enumeration date
03/15/2012
Last updated
07/28/2022
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