Jennifer Anne Leibstein
Specialist in South Setauket, NY. Individual provider (NPI-1).
NPI number1114643186
StatusActive
Last updated in NPPESOct 12, 2022
Details
- NPI
- 1114643186
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Anne Leibstein
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2022
- Certification date
- Oct 12, 2022
- Last updated
- Oct 12, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | $$$$$$$$$ | NY | Yes |
Practice location
25 Royalston LnSouth Setauket, NY 11720-1414
Phone 631-346-1181
Mailing address
25 Royalston LnSouth Setauket, NY 11720-1414
Phone 631-346-1181
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 19 Specialist providers in South Setauket · All 170 providers in South Setauket
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