# ERWIN LEREBOURS MEDICAL PLLC

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

## Provider details

- **NPI number:** 1518627785
- **Authorized official:** ERWIN LEREBOURS MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (585) 317-5539

## Contact information

- **Practice address:** 5202 AVENUE N, BROOKLYN, NY 11234-3942
- **Practice address phone:** (718) 208-4433
- **Practice address fax:** (718) 799-1415
- **Mailing address:** 2 CARMAN RD, DIX HILLS, NY 11746-5645
- **Mailing address phone:** (718) 208-4433
- **Mailing address fax:** (718) 799-1415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2021
- **Last updated:** 03/21/2022