Individual
MR. JASON EVAN LIEBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-4308
Mailing address
630 WEST 168TH BOX 4, NEW YORK, NY 10032-4112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D81746
MD
207RR0500X
Rheumatology Physician
25MA10553700
NJ
207RR0500X
Rheumatology Physician
Primary
319166
NY
208M00000X
Hospitalist Physician
MD464630
PA
Other
Enumeration date
12/16/2011
Last updated
12/15/2022
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