Most Relevant Information
Provider Data
| NPI Number: | 1003502063 |
| Provider Name: | MARK LEIBENSPERGER MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/13/2023 |
| Last Updated: | 04/24/2023 |
Provider Practice Location
525 E 68TH ST RM M-304
NEW YORK
NY
100654870
Practice Location Phone/Fax
| Phone: | 2127462941 |
| Fax: |
Provider Mailing Location
525 E 68TH ST, BOX 124
ROOM M-304
NEW YORK
NY
100654870
Provider Mailing Phone/Fax
| Phone: | 2127462941 |
| Fax: |