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Individual

AILEEN LEIBMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
245-37 60TH AVENUE, DOUGLASTON, NY 11362
(718) 728-8476
Mailing address
253 W 35TH ST, 16TH FLOOR, NEW YORK, NY 10001-1907
(718) 728-8476

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
08/05/2022
Last updated
08/05/2022
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Product
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