Individual
MICHAEL LEIBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2559
(718) 630-8456
(718) 630-8515
Mailing address
PO BOX 48257, NEWARK, NJ 07101-4800
(718) 630-8456
(718) 630-8515
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
171471
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01640220
—
NY
Enumeration date
08/14/2006
Last updated
09/18/2007
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