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Individual

MARTIN LEIB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
622 W 168TH ST STE 464, NEW YORK, NY 10032-3720
(212) 305-2303
(212) 305-8449
Mailing address
622 W 168TH ST STE 464, NEW YORK, NY 10032-3720
(212) 305-2303
(212) 305-8449

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
124928-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00370356
NY
01
133367864
TAX ID
NY
Enumeration date
07/26/2006
Last updated
03/13/2024
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