Individual
DR. GERALD LEIBOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5835 UTOPIA PKWY, 1B, FRESH MEADOWS, NY 11365-1526
(347) 395-9757
(718) 465-4503
Mailing address
5835 UTOPIA PKWY, 1B, FRESH MEADOWS, NY 11365-1526
(347) 395-9757
(718) 465-4503
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003707-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7329861
GHI
NY
Enumeration date
01/26/2006
Last updated
11/01/2010
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