Healthcare Provider Details

I. General information

NPI: 1467519991
Provider Name (Legal Business Name): ARTHUR LIEBESKIND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 W 60TH ST 21L
NEW YORK NY
10023
US

IV. Provider business mailing address

124 W 60TH STREET APT 21L
NEW YORK NY
10023
US

V. Phone/Fax

Practice location:
  • Phone: 212-247-0966
  • Fax: 212-247-0966
Mailing address:
  • Phone: 212-247-0966
  • Fax: 212-247-0966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number080175
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: