Individual
LOUISE KLEBANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 E 70TH ST, SUITE STARR 607, NEW YORK, NY 10021-9800
(212) 746-2271
(212) 746-6868
Mailing address
PO BOX 5806, NEW YORK, NY 10087-5806
(212) 256-3539
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
166267
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01100545
—
NY
Enumeration date
11/02/2005
Last updated
06/29/2023
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