Most Relevant Information
Provider Data
| NPI Number: | 1003328972 |
| Provider Name: | EILEEN ALICE LEIBMAN M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/31/2017 |
| Last Updated: | 10/31/2017 |
Provider Practice Location
500 BI COUNTY BLVD
FARMINGDALE
NY
117353988
Practice Location Phone/Fax
| Phone: | 7182641640 |
| Fax: | 6314208636 |
Provider Mailing Location
69 JEFFERSON ST
GARDEN CITY
NY
115303930
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |