Individual
DAVID LANE LEIBSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
532 BROADWAY, MASSAPEQUA, NY 11758-5004
(516) 798-2635
Mailing address
3074 MESSICK AVE, OCEANSIDE, NY 11572-2946
(516) 993-0452
(516) 536-4322
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005756-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01801761
—
NY
Enumeration date
05/09/2006
Last updated
05/14/2026
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