Individual
MRS. LONA LEYBENGRUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
253 MAYBURY AVE, STATEN ISLAND, NY 10308-3251
(347) 306-8289
Mailing address
2651 E 14TH ST, BROOKLYN, NY 11235-3915
(347) 306-8289
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005726-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000119857
GHI
—
01
—
5318881
CIGNA
NY
01
—
P3621230
OXFORD
NY
Enumeration date
11/10/2005
Last updated
03/18/2016
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