IRWIN LEIBOWITZ


Address: 48 Brook Farm Rd, Bedford, NY 10506-1311
Phone: 9142342151

IRWIN LEIBOWITZ (NPI# 1659412716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659412716
Entity Type Individual
Full Name IRWIN LEIBOWITZ
Credential PH.D.
Practice Address 48 Brook Farm Rd
Bedford
NY 10506-1311
Practice Telephone 9142342151
Mailing Telephone 9142342151
Enumeration Date 2007-02-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
009189 NY Behavioral Health & Social Service Providers

Office Location

Street Address 48 BROOK FARM RD
City BEDFORD
State NY
Zip Code 10506-1311

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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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Competitor

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City BEDFORD
Zip Code 10506

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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