Individual
AVIVA LEIBOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 AVENUE X, BROOKLYN, NY 11223-5940
(718) 336-8855
Mailing address
260 AVENUE X, BROOKLYN, NY 11223-5940
(718) 336-8855
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
10/24/2019
Last updated
03/16/2023
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