Healthcare Provider Details

I. General information

NPI: 1902567704
Provider Name (Legal Business Name): DAVID GELIEBTER ED.D., NBC-HWC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2022
Last Update Date: 01/04/2022
Certification Date: 01/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GERSHON (DUBENBOIM) ST. 44/1
BEERSHEBA SOUHTERN DISTRICT
8424004
IL

IV. Provider business mailing address

1845 E 26TH ST
BROOKLYN NY
11229-2437
US

V. Phone/Fax

Practice location:
  • Phone: 53-708-8769
  • Fax:
Mailing address:
  • Phone: 718-916-9059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-3197113
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: