MEDICARE: TOVA LEIBOWITZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	971587151	NY
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1477005601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOVA LEIBOWITZ

Provider Business Mailing Address
First Line	:	7635 HOPEWELL LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-2307
Country	:	US
Telephone Number	:	845-538-3424
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 BRIDLE RD
Second Line	:
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-1729
Country	:	US
Telephone Number	:	845-362-1997
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2016
Last Update Date	:	09/07/2023

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Directions to “ TOVA LEIBOWITZ ” Practice Location

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