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NPI Code Detail

MEDICARE: SHANI GLEIBERMAN M.S.E.D.

MEDICARE: SHANI GLEIBERMAN M.S.E.D.
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
1174400000XSpecialist1140978NY

General Provider Information

NPI Number : 1942639497
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANI GLEIBERMAN M.S.E.D.
Provider Business Mailing Address
First Line : 19 MONSEY HEIGHTS RD
Second Line :
City : AIRMONT
State : NY
Zip : 10952-3517
Country : US
Telephone Number : 845-425-0504
Fax Number :
Provider Business Practice Location Address
First Line : 19 MONSEY HEIGHTS RD
Second Line :
City : AIRMONT
State : NY
Zip : 10952-3517
Country : US
Telephone Number : 845-425-0504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2013
Last Update Date : 12/25/2013

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