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Individual

MARK J LEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
121 DEKALB AVE, BROOKLYN HOSPITAL CENTER, BROOKLYN, NY 11201
(718) 250-8000
(610) 617-6280
Mailing address
PO BOX 31724, BROOKLYN HOSPITAL CENTER, HARTFORD, CT 06150-1724
(800) 777-2455
(610) 617-6280

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1331491
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00834506
NY
Enumeration date
07/25/2006
Last updated
10/24/2007
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