Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 180971 | NY |
NPI | 1063470839 |
---|---|
Provider Name | Dr. Debra Lebo |
First Address | Tarrytown, NY 10591-5107 |
Second Address | New Hyde Park, NY 11042-1129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 02/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F65449 | (02) |