Individual
DR. IRA LEIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
28 GARDEN CT, FAR ROCKAWAY, NY 11691-5217
(718) 471-6260
Mailing address
28 GARDEN CT, FAR ROCKAWAY, NY 11691-5217
(718) 471-6260
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010771
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6803593
GHI PROVIDER #
NY
01
—
OXFORD
OXFORD PROVIDER #
NY
01
—
VALUE OPTIONS
081787
NY
Enumeration date
03/26/2007
Last updated
07/08/2007
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