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Individual

DR. LEILA BENDER LAITMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
17 BARSTOW RD, STE 400, GREAT NECK, NY 11021-2213
(516) 487-5700
Mailing address
30 PARKSIDE DR, GREAT NECK, NY 11021-1023

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
155185
NY
2084P0805X
Geriatric Psychiatry Physician
155185
NY

Other

Enumeration date
06/09/2005
Last updated
06/20/2012
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