Leibovitz, Tahl Alexander

Leibovitz, Tahl Alexander is an sole proprietor health care provider with primary practice located at 13340 87Th St Apt 1 , Ozone Park NY 11417-1975. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Leibovitz, Tahl Alexander can be contacted via phone (718) 924-6827.

Contact Information

Primary practice address
13340 87Th St Apt 1 Ozone Park NY 11417-1975
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 091688
Behavioral Health & Social Service Providers / Clinical 1041C0700X 091688 New York

Profile Details

NPI number 1235670654
LBN Legal business name Leibovitz, Tahl Alexander
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2017
Last updated Oct 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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