Individual
DR. BENJAMIN LEBWOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2913
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
233671
NY
207RG0100X
Gastroenterology Physician
Primary
233671
NY
Other
Enumeration date
06/21/2006
Last updated
11/04/2014
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