Individual
LEAH HALLIBURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 590-1800
Mailing address
1650 GRAND CONCOURSE, OB/GYN - 5TH FL (ADMIN), BRONX, NY 10457-7606
(718) 239-8383
(718) 239-8360
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
001557
NY
Other
Enumeration date
09/22/2013
Last updated
04/02/2015
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