Individual
REBECCA LEIBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
580 SUNRISE HWY, WEST BABYLON, NY 11704-6000
(917) 396-2825
Mailing address
13776 70TH AVE, FLUSHING, NY 11367-1926
(917) 396-2825
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018153
NY
Other
Enumeration date
10/13/2014
Last updated
12/22/2014
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