Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 122561 | NY |
NPI | 1033257472 |
---|---|
Provider Name | Martin Lebofsky |
First Address | Bronxville, NY 10708-3426 |
Second Address | Bronxville, NY 10708-3426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 27/02/2008 |