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Individual

DR. TESSA G LEBINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
131579
NY
2080P0205X
Pediatric Endocrinology Physician
Primary
D68298
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009165326
NY
05
415934900
MD
Enumeration date
08/24/2006
Last updated
04/29/2009
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