Individual
DR. MALLORY JANE LEIBMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
49 W 12TH ST STE 1F, NEW YORK, NY 10011-8530
(212) 682-9555
Mailing address
118 S HIGHWOOD AVE, GLEN ROCK, NJ 07452-1511
(201) 469-7386
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02853600
NJ
1223P0221X
Pediatric Dentistry
Primary
062050
NY
Other
Enumeration date
05/06/2020
Last updated
07/24/2025
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