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General NPI Number Information
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NPI Number | 1326452756
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Entity Type | Individual
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Provider Name | JACOB LEIVENT M.D
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Gender | Male
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Dates
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Enumeration Date | 06/13/2014
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 527 COURT ST STE C2
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City | BROOKLYN
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State | NY
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Zip | 11231-4454
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Country | US
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Telephone | 516-430-8792
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Fax | 252-216-4963
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Provider Business Mailing Address
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Address Line | 838 SAVANNAH CIR
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City | WALNUT CREEK
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State | CA
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Zip | 94598-1618
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Country | US
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Telephone | 516-430-8792
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 289817-1
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License Number State | NY
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